Mary Frederick, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5216595 Issued in FL

Practice address

4041 Rowan Rd
New Port Richey, FL 34653-6121

Phone

(727) 284-1980

Fax

(727) 284-1981

NPI assigned

Nov 21, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Florida Treatment Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Port Richey, FL
  • NPI 1649982273
  NPD
• Florida Treatment Services LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1215665047
  NPD (past)

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1992570832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 MILL CREEK LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672527",
            "telephone_number": "727-514-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536121",
            "telephone_number": "727-284-1980",
            "fax_number": "727-284-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5216595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaleh Fox
• Zorina Fox
• Rachel Lindsey Francis, MA, BCBA
• Stacy L. Frawley, NP
• Frederick a Grassin, D.O.
• Barbara Sharon Freedland, R.D.
• Curtis Freedland, D.O.
• Freedom Expansion Home Care Services, Inc.
• Freedom Management Associates, LLC
• Robert Marvin Freedy, M.D.

• Licensed Practical Nurse in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.