Carrie Anna Frederick, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

3003832 Issued in KY

Practice address

200 Abraham Flexner Way
Louisville, KY 40202-2877

Phone

(502) 587-4011

NPI assigned

Mar 16, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1861526097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 SWING LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-587-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "CARRIE",
        "middle_name": "ANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3003832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78012739",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K032392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Paige Frazine
• Fred Look, P.S.C., D.M.D.
• Timothy Freda, PHARMD
• Amanda Joleen Frederick, SLP
• Carmen Sue Frederick
• Emily Kirchner Frederick, PHARM.D.
• Jennifer Lee Frederick, CRNA
• Tonya Frederick
• Cody Thomas Frederiksen
• Cassandra Elaine Freed, APRN

• Women's Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Women's Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.