DR. NICOLE LEA FREDERICK (NPI# 1033768866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033768866 |
| Entity Type | Individual |
| Full Name | DR. NICOLE LEA FREDERICK |
| Credential | DNP, APRN,ACCNS-AG |
| Practice Address |
2001 Thistle Park Dr Apt 5105 Fort Worth TX 76110-1651 |
| Practice Telephone | 8179076953 |
| Mailing Telephone | 8179076953 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
31465 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720586928 | Nicole Frederick | Counselor | 33 Eastman St, Dorchester, MA 02125-2210 | 2018-01-23 |
| 1457833527 | Nicole Marie Frederick | Acupuncturist | 139 Fulton St Rm 208, New York, NY 10038-2538 | 2018-09-05 |
| Street Address |
2001 THISTLE PARK DR APT 5105 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124596614 | Stephanie Darlene Hicks | Clinical Nurse Specialist | 4201 Medical Center Dr Ste 380, Mckinney, TX 75069-1780 | 2018-11-02 |
| 1699056168 | Sara Alicia Melendez | Clinical Nurse Specialist | 6801 Mcpherson Rd Ste 220, Laredo, TX 78041-6403 | 2011-08-29 |
| 1780949628 | Mary Louise Warren | Clinical Nurse Specialist | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2012-07-06 |
| 1093953358 | Leann Michelle Mcreynolds | Clinical Nurse Specialist | 4410 Medical Dr, Suite 440, San Antonio, TX 78229-6306 | 2009-01-25 |
| 1811170111 | Regina L Wilson | Clinical Nurse Specialist | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2007-12-10 |
| 1427237452 | Debra Fraley | Clinical Nurse Specialist | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2007-10-26 |
| 1518164375 | Marthe Jean Moseley | Clinical Nurse Specialist | 7400 Merton Minter St, South Texas Veterans Health Care System, San Antonio, TX 78229-4404 | 2007-06-27 |
| City | FORT WORTH |
| Zip Code | 76110 |
Please comment or provide details below to improve the information on DR. NICOLE LEA FREDERICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.