KELSEY HORNER FREDERICKS (NPI# 1922450758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922450758 |
Entity Type | Individual |
Full Name | KELSEY HORNER FREDERICKS |
Other Name | KELSEY ELIZABETH HORNER |
Credential | NP |
Practice Address |
2018 Clinch Ave Knoxville TN 37916 |
Mailing Address |
Po Box 15004 Knoxville TN 37901-5004 |
Practice Telephone | 8655418266 |
Practice Fax Number | 8655418553 |
Mailing Telephone | 8655418895 |
Mailing Fax Number | 8656334808 |
Enumeration Date | 2016-07-05 |
Last Update Date | 2019-03-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 20848 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
20848 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20848 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | PENDING | 05 |
Street Address |
2018 CLINCH AVE |
City | KNOXVILLE |
State | TN |
Zip Code | 37916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407844111 | Amit Patel | Emergency Medicine | 2018 Clinch Ave, Knoxville, TN 37916 | 2005-10-07 |
1497318760 | Jenna Alissa Verdell | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2019-04-22 |
1659843050 | Liane E Potter | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2018-12-23 |
1013303031 | Abbey Marie Putnam | Genetic Counselor, MS | 2018 Clinch Ave, 2nd Floor South Tower, Knoxville, TN 37916-2301 | 2015-04-07 |
1477941375 | East Tennessee Children's Hospital Association, Inc. | Dietitian, Registered | 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 | 2014-12-30 |
1194144352 | Amanda Hemphill Martin | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2014-04-15 |
1760776769 | Bryan James Eriksen | Pediatrics | 2018 Clinch Ave, Knoxville, TN 37916 | 2011-06-07 |
1477846806 | Hannah Hunt Nicaud | Nurse Practitioner | 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 | 2011-05-18 |
1972892578 | Vanessa Adele Thomas | Emergency Medicine | 2018 Clinch Ave, Knoxville, TN 37916 | 2011-04-04 |
1548584964 | Patricia Sullivan Zetterberg | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2010-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
Find all providers in zip 37916 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437523149 | Marissa Grace Warwar | Nurse Practitioner | 2018 Clinch Ave Fl Tower2, Knoxville, TN 37916-2301 | 2015-11-18 |
1265803514 | Fauzia Khalid | Nurse Practitioner | 1439 Charlottesville Blvd, Knoxville, TN 37922-6658 | 2015-10-13 |
1326377177 | Lori R Hestand | Nurse Practitioner | 9220 Park West Blvd Ste 1, Knoxville, TN 37923-4405 | 2009-12-08 |
1205065984 | Sarah Lyttle Jones | Nurse Practitioner | 2072 Lakeside Centre Way, Knoxville, TN 37922-6591 | 2009-07-02 |
1508998246 | Cathy Kimball | Nurse Practitioner | 9724 Kingston Pike Ste 1005, Knoxville, TN 37922-6906 | 2007-03-09 |
1295822997 | Lawrie Nicholson Treakle | Nurse Practitioner | 2100 W. Clinch Ave Ste 120, Knoxville, TN 37916-2219 | 2006-10-06 |
1518060136 | Josephine Swann Nodell | Nurse Practitioner | 4529 Asheville Hwy, Knoxville, TN 37914-3607 | 2006-09-07 |
1770548000 | Gail Clift | Nurse Practitioner | 6305 Lonas Dr Ste 101, Knoxville, TN 37909-2732 | 2006-04-19 |
1346718020 | Lauri Michelle Gingerich | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2018-11-11 |
1720581390 | Melissa Ann Guzman | Nurse Practitioner | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2018-03-09 |
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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.