Active NPI
Frances A Hedrick, MD
- Family Medicine Physician
- Lewiston, ID
National Provider Identifier
1972694438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M7875
- Practice address
- 2315 8TH St
Lewiston, ID 83501-7301 - Phone
- (208) 746-1383
- Fax
- (208) 746-6348
- NPI assigned
- Sep 27, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 91-146 | NM | |
| Family Medicine Physician | 207Q00000X | M7875 | ID | Primary |
| Family Medicine Physician | 207Q00000X | MD00038028 | WA | |
| Family Medicine Physician | 207Q00000X | R8E66 | MO |
Addresses
Primary practice location
2315 8TH St
Lewiston, ID 83501-7301
Mailing address
2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 746-1383
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8246951 | Medicaid | WA | |
| 000010005691 | Other | ID | REGENCE BLUESHIELD |
| 132598 | Other | WA | WA LABOR & INDUSTRY |
| 34199 | Other | ID | BLUE CROSS |
| 805544400 | Other | ID | HEATHLY CONNECTIONS |
| 1142664 | Other | ID | DMERC |
| 805544400 | Medicaid | ID | |
| 841377860 | Other | ID | MISCELLANEOUS INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7875 | ID | MD | Family Medicine Physician |
| R8E66 | MO | MD | Family Medicine Physician |
| 91-146 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1972694438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 8TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835017301",
"telephone_number": "208-746-1383",
"fax_number": "208-746-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 8TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835017301",
"telephone_number": "208-746-1383",
"fax_number": "208-746-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "FRANCES",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "91-146",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M7875",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00038028",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R8E66",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8246951",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "000010005691",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRY",
"identifier": "132598",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "34199",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATHLY CONNECTIONS",
"identifier": "805544400",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "1142664",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805544400",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISCELLANEOUS INSURANCE",
"identifier": "841377860",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.