Fredrick Karnja, RN BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

L1-0036928 Issued in DE

Practice address

3604 Miller Rd
Wilmington, DE 19802-2524

Phone

(302) 257-1079

Fax

(302) 762-1697

NPI assigned

Jan 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• N/a N/a N/a Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• Grace Miracle HHC Inc

  • Home Health Agency
  • Wilmington, DE
  • NPI 1144972472
  NPD

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1740931914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DALE CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024003",
            "telephone_number": "302-257-1079",
            "fax_number": "302-762-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 MILLER RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022524",
            "telephone_number": "302-257-1079",
            "fax_number": "302-762-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNJA",
        "first_name": "FREDRICK",
        "name_prefix": "Mr.",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0036928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "1425508",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "N/A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen Optical, LLC
• Haleema Kargbo
• Emily Kariuki, RN, BSN
• Beren Karlson-Hinton, LCSW
• Madhavi Karnam
• Richard Karpinski
• Erika Karpman, LCSW, MED
• Joanne M. Kassees
• Jane Ellen Kassel, PSY.D.
• Chandrakala Kathiravan, M.D

• Registered Nurse in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Registered Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.