Darlene Lindstrom Frederick, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209-002559 Issued in IL

Practice address

850 Brook Forest Ave Unit F
Shorewood, IL 60404-8515

Phone

(815) 725-4918

Fax

(815) 725-4955

NPI assigned

Sep 21, 2006

Last updated

Jun 19, 2009By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Action Therapy Services, LTD.

  • Physical Therapist
  • Shorewood, IL
  • NPI 1518071190
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1619076221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE UNIT F",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048515",
            "telephone_number": "815-725-4918",
            "fax_number": "815-725-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE UNIT F",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048515",
            "telephone_number": "815-725-4918",
            "fax_number": "815-725-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "DARLENE",
        "middle_name": "LINDSTROM",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-002559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kay Filotto
• Laureene Ellen Fischer, LCSW
• Shannon M Flynn, MA, LCPC
• Dee A Foreman, MSW, LSW
• Stephanie N Fox, M.S., CCC-SLP
• Freedom EMS LLC
• Freedom-Elite II Joint Venture
• Freedom-Elite Joint Venture
• Jodie Lynn Fryman, OTR
• Robert Sean Funk, D.D.S.

• Adult Health Nurse Practitioner in Shorewood, IL
• Providers in Shorewood, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.