Individual provider Active NPI

Elizabeth Lynne Frederick, NP

  • Acute Care Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1508177809
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
LZ-0000118 Issued in DE
Practice address
33664 Bayview Medical Dr Unit 2
Lewes, DE 19958-1687
Phone
(302) 645-5650
Fax
(302) 645-5481
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X LZ-0000118 DE Primary

Addresses

Primary practice location

33664 Bayview Medical Dr Unit 2
Lewes, DE 19958-1687

Mailing address

12502 Ocean Reef Dr
Berlin, MD 21811-2726
Phone (443) 614-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114001000 DE Practitioner - Nurse Practitioner 1355530791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LZ-0000118DEMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. CurrentSince May 1, 2015 Accepting new patients

Locations

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

33664 Bayview Medical Dr
Unit 2
Lewes, DE 19958
Phone (302) 644-4954

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

19161 Healthy Way
Rehoboth Beach, DE 19971
Phone (302) 703-3630

Interoperability endpoints

  • Direct secure messaging: efrederick22462@beebehealth.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1508177809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 OCEAN REEF DR",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218112726",
            "telephone_number": "443-614-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33664 BAYVIEW MEDICAL DR UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581687",
            "telephone_number": "302-645-5650",
            "fax_number": "302-645-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "ELIZABETH",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DE",
            "license": "LZ-0000118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.