Fredrika Lynette Pace, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

305011031 Issued in WI

Practice address

5831 N 60TH St
Milwaukee, WI 53218-2042

Phone

(414) 466-5840

NPI assigned

Aug 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Fredrika Lynette Dotson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1922313048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182042",
            "telephone_number": "414-466-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 N 60TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532182042",
            "telephone_number": "414-466-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "FREDRIKA",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "305011031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDRIKA",
            "last_name": "DOTSON",
            "middle_name": "LYNETTE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• P.S. I Luv U
• David J. Paape, D.D.S
• Heather M Paar, FNP-BC
• Inez Elizabeth Pabian, PHARMD
• Caroline Pace, M.D,
• Shawntell Nicole Pace, PHD
• Sarani Girija Pachalla, MD
• Abraham David Pacheco, CSA
• Robert William Pachner, M.D.
• Emily Pachowitz

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.