KAITLYN VICTORIA FREDRICK


Address: 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346
Phone: 7708713726

KAITLYN VICTORIA FREDRICK (NPI# 1952778441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952778441
Entity Type Individual
Full Name KAITLYN VICTORIA FREDRICK
Credential APN, PMHNP-BC
Practice Address 41 Perimeter Ctr E Ste 250
Dunwoody
GA 30346
Mailing Address 506 Winton Ter Ne Apt A
Atlanta
GA 30308-2827
Practice Telephone 7708713726
Mailing Telephone 9014963631
Enumeration Date 2015-08-31
Last Update Date 2019-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN290699 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201509309NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
319 Sw Washington St, Suite 1015, Portland, OR 972042635 5034898804 5032272561

Office Location

Street Address 41 PERIMETER CTR E STE 250
City DUNWOODY
State GA
Zip Code 30346

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275133126 Mary Blythe Puryear Dietitian, Registered 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2020-10-29
1609488667 Katherine Burden Counselor 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2020-08-20
1578189460 Kara Stultz Counselor 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2020-06-17
1922623289 Whitney N Mckenzie Counselor 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2020-06-12
1255956595 Helena Wells Ross Dietitian, Registered 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2020-06-12
1427699362 Mary V Cooper Nurse Practitioner 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2019-10-02
1659931178 Lauren Marie Watry Nurse Practitioner 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2019-06-17
1568929073 Meghan Katherine Croak Nurse Practitioner 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2019-02-21
1215401039 Tiffany J Rattery Nurse Practitioner 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2019-01-15
1861972036 Margaret Ann Martinez Psychologist 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2018-08-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730694332 Man Fung Lam Behavioral Analyst 302 Perimeter Ctr N Apt 2431, Atlanta, GA 30346 2017-12-05
1518413897 Terre Cheely Nurse Practitioner 2 Ravinia Drive Suite 500, Atlanta, GA 30346 2016-08-28
1790139954 Rachel Brandeis Dietitian, Registered 400 Perimeter Center Terrace North, Suite 900, Atlanta, GA 30346 2016-04-14
1689917965 Taryn Abrams Psychiatry & Neurology 41 Perimeter Center East, Suite 250, Dunwoody, GA 30346 2013-04-04
1154683381 Coby John Lund Behavioral Analyst 53 Perimeter Center East, Suite 350, Atlanta, GA 30346 2012-06-13
1306113832 Shannah Melanie Bachar Behavioral Analyst 53 Perimeter Center East Suite 350, Atlanta, GA 30346 2011-11-29
1740561125 Jblb Holdings, LLC Electrodiagnostic Medicine 400 Perimeter Center Ter North, Suite 900, Atlanta, GA 30346 2011-08-30
1215109996 Alphonso D Porter Technician/Technologist 3118-a Washington Rd, East Point, GA 30346 2008-04-02
1437275005 Elaine Gilner Friedman Social Worker 12234 Madison Drive, Atlanta, GA 30346 2007-03-22
1225123383 Easter Seals North Georgia, Inc. Voluntary or Charitable 53 Perimeter Center East Suite 550, Atlanta, GA 30346 2006-10-04
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154966208 Kathleen Lyman Schaaf Nurse Practitioner 2150 Peachford Rd Ste H, Dunwoody, GA 30338-6539 2019-11-13
1568929073 Meghan Katherine Croak Nurse Practitioner 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346-1902 2019-02-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336740398 Audline Maria Hodnett Nurse Practitioner 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 2020-11-05
1073111845 George Mackel, Pmhnp-bc, LLC Nurse Practitioner 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 2020-10-14
1356958060 Earl Delk Nurse Practitioner 3365 Ridgerock Way, Snellville, GA 30078-4176 2020-09-26
1609482991 Tammy Haskins Bailey Nurse Practitioner 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 2020-09-22
1861007403 Caring Clinic LLC Nurse Practitioner 114 Wrights Dr, Milledgeville, GA 31061 2020-09-10
1376156364 Katrina Ransom Clark Nurse Practitioner 120 Walker Dr Nw, Milledgeville, GA 31061-9561 2020-08-28
1457963746 Evelyn Ahiante Dennis Nurse Practitioner 3325 Emden Ct, Snellville, GA 30039-6047 2020-08-19
1194335620 Jennifer Logan Nurse Practitioner 424 Scotts Way, Augusta, GA 30909-3135 2020-08-10
1750991592 Jamie Rae Mccracken Nurse Practitioner 2538 Gordon Cir Se, Smyrna, GA 30080-8123 2020-08-06
1285244608 Amcare Substance Abuse and Addiction Counseling Nurse Practitioner 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 2020-08-01
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Competitor

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City DUNWOODY
Zip Code 30346

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Dataset Information

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.

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