Robin Toby Fredeking, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95020344 Issued in CA

Practice address

1739 Colorado Ave
Turlock, CA 95382-2714

Phone

(209) 774-9647

NPI assigned

Jan 7, 2022

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robin.fredeking@3441.securemail.prognocis.com

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

• Norcal Pain Treatment Center Corp

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Turlock, CA
  • NPI 1720631708
  Medicare reassignment NPD
• Pleasanton Emergency Medical Group

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1285625509
  Medicare reassignment NPD
• Norcal Pain Treatment Center Corp.

  • Clinic/Center
  • Modesto, CA
  • NPI 1518850569
  NPD

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1609537919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HARRISON ST APT 790",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073879",
            "telephone_number": "916-770-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822714",
            "telephone_number": "209-774-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDEKING",
        "first_name": "ROBIN",
        "middle_name": "TOBY",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95020344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacey Fox
• Shelley Francesconi, PHARMD
• Kimberly Anne Franck, MFTI
• Federico Franco
• Pamela Frazier, EDUCATION SPECIALIST
• Richard K Freeman, M.D.
• Yvette Fregoso-Flores
• Anthony Joseph Freitas, PTA
• Nicole Ashley Freitas, RD
• Joseph L Frensley, MSN, APRN-C

• Nurse Practitioner in Turlock, CA
• Providers in Turlock, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.

Verify at the official NPI Registry.