NPIMap

Individual provider Active NPI

Tonya Frederick, RN, FNP

  • Family Nurse Practitioner
  • Astoria, OR
National Provider Identifier
1619451697
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202100983NP-PP Issued in OR
Practice address
2265 Exchange St
Astoria, OR 97103-3331
Phone
(503) 338-4050
NPI assigned
Sep 17, 2018
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202100983NP-PP OR Primary

Addresses

Primary practice location

2265 Exchange St
Astoria, OR 97103-3331

Mailing address

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

Other names 1

  • Tonya Michlin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219002546 OR Practitioner - Nurse Practitioner 8820428212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians

Practice addresses (Care Compare)

1639 SE Ensign LN
Warrenton, OR 97146-7308
Phone (503) 338-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1118906TXMDProsthetist
202100983NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
Nehalem Bay Health Center and Pharmacy CurrentSince Nov 18, 2024 Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Sushil Anand and Associates Medical Corp PastSince Apr 1, 2021 Accepting new patients
Nehalem Bay Health Center and Pharmacy Past Accepting new patients
Audrey Reid and Associates,a Medical Group,Inc PastSince Sep 1, 2019 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1619451697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033329",
            "telephone_number": "503-325-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033331",
            "telephone_number": "503-338-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "TONYA",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202100983NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "MICHLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.