Individual provider Active NPI

Emily Fredrickson, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1588093256
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AC002919 Issued in MD
Practice address
10801 Lockwood Dr Ste 320
Silver Spring, MD 20901-1559
Phone
(301) 681-3400
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9329710 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AC002919 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr Ste 320
Silver Spring, MD 20901-1559

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

1344 22nd St S
St Petersburg, FL 33712-2744
Phone (727) 824-8181

Other names 1

  • Emily Jones Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.fredrickson.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113000993 DC Practitioner - Certified Nurse Midwife (CNM) 3274752258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

10801 Lockwood Dr
Suite 290
Silver Spring, MD 20901-1559
Phone (301) 593-5595

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AC002919MDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. CurrentSince Jul 30, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

19851 Observation Dr
Ste 345
Germantown, MD 20876
Phone (301) 681-3400

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

10801 Lockwood Dr
Ste 290
Silver Spring, MD 20901
Phone (301) 593-5595

10801 Lockwood Dr
Ste 320
Silver Spring, MD 20901
Phone (301) 681-3400

Interoperability endpoints

  • Direct secure messaging: emily.fredrickson.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 2

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1588093256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 320",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011559",
            "telephone_number": "301-681-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1344 22nd St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337122744",
            "country_code": "US",
            "telephone_number": "727-824-8181",
            "fax_number": "727-824-8137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICKSON",
        "first_name": "EMILY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9329710",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "AC002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.fredrickson.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10801 Lockwood Dr Ste 320",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209011559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.