TRICHA SAMANTHA FREDERICK (NPI# 1942850656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942850656 |
| Entity Type | Individual |
| Full Name | TRICHA SAMANTHA FREDERICK |
| Credential | LPN |
| Practice Address |
250 Grand Concourse Bronx NY 10451-5430 |
| Practice Telephone | 7182924455 |
| Practice Fax Number | 7182929218 |
| Mailing Telephone | 7182924455 |
| Mailing Fax Number | 7182929218 |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 306572 | NY | Nursing Service Providers |
| Street Address |
250 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10451-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689612426 | Dennis Castillo | Physician Assistant | 250 Grand Concourse, Bronx, NY 10451 | 2006-06-03 |
| 1083263347 | Osvaldo Arturo Frias | Licensed Practical Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2019-09-10 |
| 1427607639 | Angelo Gallardo | Licensed Practical Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2019-09-10 |
| 1316405533 | Kimberly Santiago | Registered Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2019-03-06 |
| 1427567676 | Thurston Randall Jr. | Counselor | 250 Grand Concourse, Bronx, NY 10451 | 2017-09-20 |
| 1467982173 | Nicole Felix II | Registered Nurse | 250 Grand Concourse, Bronx, NY 10451-5430 | 2017-06-14 |
| 1881058212 | Monsie Evette Santiago | Counselor | 250 Grand Concourse, Bronx, NY 10451 | 2016-04-12 |
| 1922472083 | Santos Seda | Counselor | 250 Grand Concourse, Bronx, NY 10451 | 2015-11-30 |
| 1194199257 | Anthony Daniel Martinez | Counselor | 250 Grand Concourse, Bronx, NY 10451 | 2015-11-30 |
| 1154795235 | Samaritan Daytop Village, Inc. | Clinic/Center | 250 Grand Concourse, Bronx, NY 10451-5430 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1780284661 | Tiffanny Rawlins | Licensed Practical Nurse | 4200 Bronxwood Ave, Bronx, NY 10466-3119 | 2020-10-29 |
| 1063012987 | Theresa Kukueley Okaikoi | Licensed Practical Nurse | 2271 Washington Ave Apt 1d, Bronx, NY 10457-1458 | 2020-10-29 |
| 1770182396 | Daouda Nikiema | Licensed Practical Nurse | 3477 Knox Pl Apt E, Bronx, NY 10467-2051 | 2020-10-23 |
| 1811596000 | Nancy Agyapong | Licensed Practical Nurse | 1735 Lafayette Ave, Bronx, NY 10473-4171 | 2020-10-20 |
| 1255939005 | Serifat Adeyemi | Licensed Practical Nurse | 830 E 214th St, Bronx, NY 10467-5914 | 2020-10-14 |
| 1124625165 | Vanessa Daymon | Licensed Practical Nurse | 662 E 216th St, Bronx, NY 10467-5512 | 2020-10-02 |
| 1770199135 | Paula Pamella Smith | Licensed Practical Nurse | 2035 Nereid Ave, Bronx, NY 10466-1110 | 2020-09-21 |
| 1477169274 | Yetunde Elizabeth Onafuwa | Licensed Practical Nurse | 1485 Fulton Ave Apt 5d, Bronx, NY 10456-2119 | 2020-09-17 |
| 1336755123 | Eunice Isabel Paredes | Licensed Practical Nurse | 1895 University Ave Apt 6d, Bronx, NY 10453-4475 | 2020-09-17 |
| Find all providers in BRONX | ||||
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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.