Ena Frederick, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

257421-1 Issued in NY

Practice address

13 Cleveland St
Valley Stream, NY 11580-6003

Phone

(516) 823-0739

NPI assigned

Apr 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ena Frederick Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1508286949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CLEVELAND ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806003",
            "telephone_number": "516-823-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CLEVELAND ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806003",
            "telephone_number": "516-823-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "ENA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "257421-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENA",
            "last_name": "FREDERICK",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Davon Franklin
• Jared Franklin
• Yasmine Franklin, LPN
• Patricia Desiree Fraser, LCSW
• Annette Pamella Fray
• Clarence Frederique, LPN
• Leslie Marie Freeman, L.P.N.
• Mila Frenkel, DPT
• Bridget Freycinet, N.P.
• Mordechai David Fried, MSW

• Home Health Registered Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.