Rachel Fredricks, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2164 Issued in TN

Practice address

1400 S Germantown Rd
Germantown, TN 38138

Phone

(901) 759-3180

NPI assigned

Oct 23, 2014

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

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1831594621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ELKSTONE PL E APT 204",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172237",
            "telephone_number": "734-353-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-759-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "596 Elkstone Pl E Apt 204",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380172237",
            "country_code": "US",
            "telephone_number": "734-353-0341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICKS",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa O Fox, M.D.
• Francis J. Fenaughty MD, P.C.
• Gabriel Francisco Pereira Aleixo, MD
• Frayser Medical Center
• Randall C Frederick, M.D.
• Lynda J Freeland, MD
• Barney L Freeman III, M.D.
• Candice G Freeman, CRNA
• Josylin Vassaur Freeman, DDS
• Kimberly Willey Freeman, MD

• Athletic Trainer in Germantown, TN
• Providers in Germantown, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.