ALYSSA L FREDERICKS (NPI# 1497222681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497222681 |
| Entity Type | Individual |
| Full Name | ALYSSA L FREDERICKS |
| Practice Address |
Hwy 264 Milepost 388 Unit 40 Polacca AZ 86042 |
| Mailing Address |
Po Box 32 Kykotsmovi AZ 86039-0032 |
| Practice Telephone | 9287370414 |
| Mailing Telephone | 9285143402 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ATR-001676 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
HWY 264 MILEPOST 388 UNIT 40 |
| City | POLACCA |
| State | AZ |
| Zip Code | 86042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982915351 | Lucinda Nez | Registered Nurse | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2010-06-30 |
| 1720489925 | Jessica Wright | Registered Nurse | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2014-09-08 |
| 1770983165 | Thomas Romard | Registered Nurse | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2014-09-04 |
| 1255759551 | Donna Marie Selina | Technician | Hwy 264 Milepost 388, Polacca, AZ 86042-0849 | 2014-04-03 |
| 1043504210 | Rochelle Snyder | Registered Nurse | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2011-06-06 |
| 1588957369 | Gina Marie Kosek | Registered Nurse | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2011-05-26 |
| 1396038170 | Michael Harrison | Registered Nurse | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2011-05-26 |
| 1154634731 | Petra Bennefield | Registered Nurse | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2010-07-23 |
| 1730491366 | Margie Ann Saucedo | Registered Nurse | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2010-07-12 |
| 1265744239 | Yolanda Bydonie | Nurse's Aide | Hwy 264 Milepost 388, Polacca, AZ 86042-4000 | 2010-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553787 | Megan Gilliam | Pharmacist | Mile Post 288 Hwy 264, Polacca, AZ 86042 | 2020-09-21 |
| 1295348787 | Emma Guadalupe Cortez | Nurse's Aide | Hopi Health Care, Hwy 264 Mp 388, Polacca, AZ 86042 | 2020-08-25 |
| 1942835434 | Kevin C Powers | Registered Nurse | Route 264 Mp 388, Polacca, AZ 86042 | 2020-03-05 |
| 1780217463 | Kim N Le | Family Medicine | Mile Post 388 Highway 264, Polacca, AZ 86042 | 2020-02-20 |
| 1265959365 | Karen Olivia Francis | Registered Nurse | Highway 264 Mile Post, Hopi Health Care Facility, Polacca, AZ 86042 | 2017-08-29 |
| 1629598339 | Marina Kanoelani Mehau-sanchez | Pharmacist | Hwy 264 At Mile Post 388, Hopi Health Care Center, Polacca, AZ 86042 | 2017-06-23 |
| 1184096786 | Erica Lalo | Technician, Other | Hwy 264 Mp388, Polacca, AZ 86042 | 2015-10-22 |
| 1790124618 | Michael Everett Robinson | Registered Nurse | Highway 264 Mile Post 388, Polacca, Az 86042, Hopi Health Care Center (ihs), Polacca, AZ 86042 | 2013-06-25 |
| 1760728232 | Rhanishia Smith | Registered Nurse | Highway 264 Mile Pot 388, Polacca, AZ 86042 | 2013-01-02 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| Find all providers in zip 86042 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891751574 | Stanley Kurley Jr. | Specialist/Technologist | Highway 264 Mile Post 388, Polacca, AZ 86042-4000 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548746 | Cheyenne Varga | Specialist/Technologist | 918 W Nido Ave, Mesa, AZ 85210-7658 | 2020-11-03 |
| 1669073284 | Tiffany Fiesler | Specialist/Technologist | 6051 N Rockland Dr Apt B, Prescott Valley, AZ 86314-3187 | 2020-11-02 |
| 1104426063 | Desiree Pacheco | Specialist/Technologist | 2333 E Southern Ave Unit 2088, Tempe, AZ 85282-7647 | 2020-10-29 |
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1740889815 | Jory Walthour | Specialist/Technologist | 4545 E Downing St, Mesa, AZ 85205-6319 | 2020-10-20 |
| 1225637317 | Alexsys Cameran Stroh | Specialist/Technologist | 1349 S Burlington St, Flagstaff, AZ 86001-2446 | 2020-10-20 |
| 1952900151 | Joseph Espinoza | Specialist/Technologist | 505 S Roosevelt Rd Apt I6, Mesa, AZ 85202-1702 | 2020-10-20 |
| 1093314445 | Christopher Murphy | Specialist/Technologist | 301 E Bromley St, Tucson, AZ 85704-5704 | 2020-10-17 |
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1689280034 | Jordan Nash-boulden | Specialist/Technologist | 6000 S Lakeshore Dr, Tempe, AZ 85283-3049 | 2020-09-21 |
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| 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.