Christina Fredericks, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303438 Issued in NY

Practice address

45 Reade PL
Poughkeepsie, NY 12601-3947

Phone

(845) 483-6217

Fax

(845) 483-6108

NPI assigned

Jul 6, 2006

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

Other identifiers 1

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 and National Provider Directory roles.

• Riddle Medical LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Haworth, NJ
  • NPI 1245286640
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1730111352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 ROUTE 52",
            "address_2": "STE 2",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333533",
            "telephone_number": "845-765-2404",
            "fax_number": "845-765-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-483-6217",
            "fax_number": "845-483-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02634417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Elizabeth Fraser
• Alleyne Fraser, M.D.
• John Fratto, RPH
• Elizabeth M. Fratz, RN
• Stacey Frederick, LPN
• Makenna Nicole Fredericks, MHC-LP
• Michael Douglas Freedman, M.D.
• Latoya Freeman, LPN
• Tony Edward Freeman, RN
• Varnena Freeman

• Adult Health Nurse Practitioner in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.