DR. JESSICA FREDERIKSEN (NPI# 1720462377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720462377 |
| Entity Type | Individual |
| Full Name | DR. JESSICA FREDERIKSEN |
| Credential | PHARMD |
| Practice Address |
145 N Miles St Appleton MN 56208-1316 |
| Practice Telephone | 3202891252 |
| Practice Fax Number | 3202892691 |
| Mailing Telephone | 3202891252 |
| Mailing Fax Number | 3202892691 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5320 | SD | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 118101 | MN | Pharmacy Service Providers |
| Street Address |
145 N MILES ST |
| City | APPLETON |
| State | MN |
| Zip Code | 56208-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976495 | Liebe Drug Inc | Pharmacy | 145 N Miles St, Appleton, MN 56208-1316 | 2005-07-14 |
| 1255747812 | Lewis Family Drug LLC | Pharmacy | 145 N Miles St, Appleton, MN 56208-1316 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730126673 | Appleton Area Health | Clinic/Center | 30 S. Behl St., Appleton, MN 56208 | 2006-05-31 |
| 1982776894 | City of Appleton | Ambulance | 323 W. Schlieman Ave., Appleton, MN 56208-1299 | 2006-11-15 |
| 1477780914 | Conroy Eye Care, Pa | Optometrist | 229 N Miles St, Appleton, MN 56208-1318 | 2009-06-11 |
| 1992826507 | Kevin L. Skjei | Dentist | 32 S Behl St, Appleton, MN 56208-1616 | 2007-04-02 |
| 1629024823 | Deborah S Colon | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2006-05-26 |
| 1689297343 | Jordan Rae Halvorson | Physical Therapist | 30 S Behl St, Appleton, MN 56208-1616 | 2020-05-28 |
| 1063059798 | Emily Nadolny | Occupational Therapist | 30 S Behl St, Appleton, MN 56208-1616 | 2019-12-02 |
| 1265997340 | Penny M Hormann | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2019-02-04 |
| 1083108815 | Elizabeth Charles | Midwife | 30 S Behl St, Appleton, MN 56208-1616 | 2018-06-15 |
| 1083064109 | Michela Lambert Mazard | Nurse Practitioner | 30 S Behl St, Appleton, MN 56208-1616 | 2016-06-20 |
| Find all providers in zip 56208 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057394 | Nicole Spradley | Pharmacist | 29 S Keller Park Dr, Appleton, WI 54914-8869 | 2020-03-09 |
| 1316311137 | Erin Mcdonald | Pharmacist | 3701 E Evergreen Dr Ste 1000, Appleton, WI 54913-7409 | 2015-11-17 |
| 1073910527 | Anna Peterson Sanders | Pharmacist | 513 N Sampson St, Appleton, WI 54911-5345 | 2014-11-28 |
| 1972944825 | Jennifer Baerenwald | Pharmacist | W2721 Brookhaven Dr, Appleton, WI 54915-8184 | 2013-07-08 |
| 1437597861 | Alvin Alfred Krause | Pharmacist | 1600 S Hillcrest Dr, Appleton, WI 54914-5125 | 2013-06-07 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1568715944 | Gary A Melis | Pharmacist | 1621 W Marquette St, Appleton, WI 54914-2287 | 2012-10-22 |
| 1689927113 | George Paul Gosz | Pharmacist | 319 E Greenfield St, Appleton, WI 54911-2133 | 2012-10-22 |
| 1437435898 | Gina Lee Bicigo | Pharmacist | 4800 N Stargaze Dr, Appleton, WI 54913-7330 | 2011-10-31 |
| 1396914529 | Jerome Anton Wallenfang Jr. | Pharmacist | N276 Gillan Ct, Appleton, WI 54915-5502 | 2008-02-21 |
| Find all providers in APPLETON | ||||
Please comment or provide details below to improve the information on DR. JESSICA FREDERIKSEN.
| 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.