Fredrickson Anesthesia Staffing Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

53524 Issued in TX

Legal business name

FREDRICKSON ANESTHESIA STAFFING INC.

Practice address

2610 S Ih 35
Austin, TX 78704-5703

Phone

(512) 993-4848

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Fredrickson, CRNA

Title

President

Phone

(512) 993-4848

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1750700118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15608 INTERLACHEN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787173871",
            "telephone_number": "512-993-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045703",
            "telephone_number": "512-993-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICKSON ANESTHESIA STAFFING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "FREDRICKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-993-4848",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "53524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3665739-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Archer Frederiksen, PA-C
• Leigh Anne Fredholm, MD
• Theresa Fredley, MS, FAAOMPT
• Fredrick Shaw DDS, PC
• Kimberly Diane Fredrick, LPC
• Elizabeth A Fredrickson, LCSW
• Nichole Victoria Fredriksson Ellison, M.S. CCC-SLP
• Jeyton Freed
• Daniel Freedman
• Freedom and Love Innerwellness PLLC

• Certified Registered Nurse Anesthetist in Austin, TX
• Providers in Austin, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.