Individual provider Active NPI

Cecelia Hope Fredrich, APN, DNSC

  • Gerontology Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1881784353
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ANP1014 Issued in AR
Practice address
2422 N Thompson St
Suite a
Springdale, AR 72764-1757
Phone
(479) 750-6566
NPI assigned
Oct 13, 2006
Last updated
Aug 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X A01014ANP AR
Family Nurse Practitioner 363LF0000X ANP01014 AR
Gerontology Nurse Practitioner 363LG0600X ANP1014 AR Primary

Addresses

Primary practice location

2422 N Thompson St
Suite a
Springdale, AR 72764-1757

Mailing address

3486 Hearthstone Dr
Fayetteville, AR 72764-8631
Phone (479) 751-3070

Other identifiers 1

IdentifierTypeStateIssuer
121418758MedicaidAR

Other names 1

  • Dr. Hope Hartz Fredrich Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A01014ANPARMDAdult Health Nurse Practitioner
ANP01014ARMDFamily Nurse Practitioner
ANP1014ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC Past Accepting new patients
Northwest Benton County Physician Services LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1881784353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3486 HEARTHSTONE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727648631",
            "telephone_number": "479-751-3070",
            "fax_number": "479-751-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 N THOMPSON ST",
            "address_2": "SUITE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641757",
            "telephone_number": "479-750-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICH",
        "first_name": "CECELIA",
        "middle_name": "HOPE",
        "name_prefix": "Ms.",
        "credential": "APN, DNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A01014ANP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ANP01014",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "ANP1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121418758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOPE",
            "last_name": "FREDRICH",
            "middle_name": "HARTZ",
            "prefix": "DR.",
            "credential": "APN,DNSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.