Elizabeth Rae Frederick

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP020656 Issued in PA

Practice address

680 Blair Mill Rd
Horsham, PA 19044-2223

Phone

(724) 544-3424

NPI assigned

Aug 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1982251849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SHIPLEY LN",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156663521",
            "telephone_number": "724-544-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223",
            "telephone_number": "724-544-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Shipley Ln",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "PA",
            "postal_code": "156663521",
            "country_code": "US",
            "telephone_number": "724-544-3424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "ELIZABETH",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janee Fonslick, MD
• Erica Michele Forrey, CRNP
• Oluwadamilola Fowowe, CRNP
• Ashley Fox
• Anthony Nicholas Frasca Jr.
• Freedom Management Services LLC
• Kristen French, PT, DPT
• Robert Thomas Friedman, R.PH.
• Nicholas Joseph Funk, RD, LDN
• Nancy Galella, MD

• Family Nurse Practitioner in Horsham, PA
• Providers in Horsham, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.

Verify at the official NPI Registry.