Active NPI
Cecelia Hope Fredrich, APN, DNSC
- Gerontology Nurse Practitioner
- Springdale, AR
National Provider Identifier
1881784353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- ANP1014
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121418758 | Medicaid | AR |
Other names 1
- Dr. Hope Hartz Fredrich
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01014ANP | AR | MD | Adult Health Nurse Practitioner |
| ANP01014 | AR | MD | Family Nurse Practitioner |
| ANP1014 | AR | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
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
- Emily Fraser, DPT
- Megan Christine Fraser, M.S., CCC-SLP
- Fred L Smardo, M.D., PA (Arkansas Kidney Consultants)
- Haley Frederick
- Brandon Frederking, OTR/L
- Freeman Health System Nwa, LLC (Freeman Health System - Springdale)
- Freeman Health System Nwa, LLC (Freeman Health System - Springdale)
- Carissa Freeman, FNP
- Kayla E Freeman, CNP
- Lisa L Freeman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.