Active NPI
Joshlyn Q Fredrick, CPT1, BSHA/LPC
- Contractor
- Concord, CA
National Provider Identifier
1598299778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- CPT121521
- Practice address
- 985 Rosehedge CT
Concord, CA 94521-5453 - Phone
- (925) 435-7008
- NPI assigned
- Apr 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | CPT121521 | CA | Primary |
| Home Modifications Contractor | 171WH0202X | CPT21521 | CA |
Addresses
Primary practice location
985 Rosehedge CT
Concord, CA 94521-5453
Mailing address
985 Rosehedge CT
Concord, CA 94521-5453
Phone (925) 435-7008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT121521 | CA | MD | Contractor |
| CPT21521 | CA | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1598299778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 ROSEHEDGE CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945215453",
"telephone_number": "925-435-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 ROSEHEDGE CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945215453",
"telephone_number": "925-435-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDRICK",
"first_name": "JOSHLYN",
"middle_name": "Q",
"credential": "CPT1, BSHA/LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "CPT121521",
"primary": true
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "CA",
"license": "CPT21521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.