LINDSEY MARIE FREDERICKSEN A.R.N.P NPI 1255678520

NPI Information

NPI: 1255678520
Provider Name: LINDSEY MARIE FREDERICKSEN, A.R.N.P
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
40 E HICKMAN RD
WAUKEE, IA
ZIP 50263
Phone: (515) 987-6610
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Lindsey Marie Fredericksen, A.R.N.P is a pediatrics nurse practitioner in Waukee, IA. Lindsey Marie Fredericksen, A.R.N.P NPI is 1255678520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 E HICKMAN RD
WAUKEE, IA
ZIP 50263-011
Phone: (515) 987-6610
Fax: (515) 216-2910

The NPI 1255678520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 1/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	C-119097	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1255678520	MEDICAID	IOWA
2	719260564	MEDICARE PIN	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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