Individual provider Active NPI

Freda Elaine Fields, APRN FNP-C

  • Family Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1639611007
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010916 Issued in KY
Practice address
336 29TH St Ste 203
Ashland, KY 41101-1932
Phone
(606) 225-8200
Fax
(888) 606-7354
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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 3010916 KY Primary

Addresses

Primary practice location

336 29TH St Ste 203
Ashland, KY 41101-1932

Mailing address

336 29TH St Ste 203
Ashland, KY 41101-1932
Phone (606) 225-8200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Freda.fields@fsh.eclinicaldirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20170330000429 KY Practitioner - Nurse Practitioner 4284916313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Start Health PSCGroup PAC ID 6204184997, 9 clinicians

Practice addresses (Care Compare)

336 29TH St
Suite 203
Ashland, KY 41101-1932
Phone (606) 225-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010916KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start Health PSC CurrentSince Jun 6, 2018 Accepting new patients
Fresh Start Health PSC CurrentSince Jun 6, 2018 Accepting new patients
Fresh Start Health Foundation Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

336 29th St
Ste 203
Ashland, KY 41101
Phone (606) 225-8200

207 N Carol Malone Blvd
Grayson, KY 41143
Phone (606) 225-8200

150 Newtowne Sq
Morehead, KY 40351
Phone (606) 225-8200

207 Plummers Ln
Vanceburg, KY 41179
Phone (606) 796-0010

Interoperability endpoints

  • Direct secure messaging: freda.fields@fsh.eclinicaldirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1639611007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 29TH ST STE 203",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011932",
            "telephone_number": "606-225-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 29TH ST STE 203",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011932",
            "telephone_number": "606-225-8200",
            "fax_number": "888-606-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "FREDA",
        "middle_name": "ELAINE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Freda.fields@fsh.eclinicaldirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "336 29th St Ste 203",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411011932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.