Judith Subedi Fredericksen, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0101057099 Issued in VA

Practice address

625 Virginia Ave
Front Royal, VA 22630-2717

Phone

(540) 635-7991

Fax

(540) 636-2516

NPI assigned

Apr 6, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsfred@sma-va.direct.office.nextgen.com

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.

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Medicare reassignment NPD
• Page Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970
  NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1629190905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 VIRGINIA AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302717",
            "telephone_number": "540-635-7991",
            "fax_number": "540-636-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 VIRGINIA AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302717",
            "telephone_number": "540-635-7991",
            "fax_number": "540-636-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKSEN",
        "first_name": "JUDITH",
        "middle_name": "SUBEDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101057099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfredericksen124110@soc.inova.org",
            "affiliation": "N",
            "address_1": "625 Virginia Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Micheil Patrick Finley, DC
• Christopher Charles Fournier
• FR Pharmacy Group LLC
• Matthew Franklin
• Frederick W. Broadhead, DMD, PC
• James William Freilich, M.D
• Front Royal Dental Care, LLC
• Front Royal Family Practice, P.C.
• Front Royal Internal Medicine Assoc LTD
• Front Royal Life Care Corp

• Adult Medicine Physician in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.