Active NPI
Elizabeth Lynne Frederick, NP
- Acute Care Nurse Practitioner
- Lewes, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- LZ-0000118
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LZ-0000118 | DE | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beebe Physician Network Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.