Jennie Frederic, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

214934 Issued in FL

Practice address

8910 Miramar Pkwy Ste 200
Miramar, FL 33025-4963

Phone

(954) 588-9383

NPI assigned

Jan 11, 2022

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Priority First Care Services LLC

  • In Home Supportive Care Agency
  • Miramar, FL
  • NPI 1215684857
  NPD Authorized official
• Renuva Wellness LLC

  • Family Nurse Practitioner
  • Miramar, FL
  • NPI 1487326476
  NPD

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1659022762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY STE 200",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254963",
            "telephone_number": "954-588-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY STE 200",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254963",
            "telephone_number": "954-588-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERIC",
        "first_name": "JENNIE",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "214934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynndhell D Francois
• Simone Frank, PT
• Ashley Danielle Frater, FNP
• Linda Frazier
• Susan Frazier
• Nashra Frederic
• Renise Frederic
• Lisa Marie Dorto Freeman, CAA
• Fresh Start Therapy
• Freshearing LLC

• Nurse's Aide in Miramar, FL
• Providers in Miramar, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.