Individual provider Active NPI

Danika Fredieu, AGACNP-BC

  • Acute Care Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1902324718
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP135746 Issued in TX
Practice address
1111 Medical Plaza Dr Ste 250
The Woodlands, TX 77380-3477
Phone
(281) 296-8788
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP135746 TX Primary

Addresses

Primary practice location

1111 Medical Plaza Dr Ste 250
The Woodlands, TX 77380-3477

Mailing address

1111 Medical Plaza Dr Ste 250
The Woodlands, TX 77380-3477

Other names 1

  • Danika Jacques Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127001183 TX Practitioner - Nurse Practitioner 1355799792 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135746TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Nov 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2023 Accepting new patients

Locations

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1902324718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR STE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR STE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803477",
            "telephone_number": "281-296-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDIEU",
        "first_name": "DANIKA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP135746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIKA",
            "last_name": "JACQUES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.