STEPHANIE GRACE FREDERICK (NPI# 1992216758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992216758 |
| Entity Type | Individual |
| Full Name | STEPHANIE GRACE FREDERICK |
| Credential | CRNP |
| Practice Address |
450 Chew St Ste 202 Allentown PA 18102-3434 |
| Practice Telephone | 6107764767 |
| Practice Fax Number | 6106064475 |
| Mailing Telephone | 6107764767 |
| Mailing Fax Number | 6106064475 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP017998 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 281 N 12th St Ste E, Lehighton, PA 182351101 | 6103776969 | 6103779099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275806853 | Stephanie A Frederick | Speech-Language Pathologist | 12 Tamarack Trl, Bedford, NH 03110-5229 | 2012-02-13 |
| Street Address |
450 CHEW ST STE 202 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635610 | Chun Du | Nurse Practitioner | 7535 Windsor Dr Ste B100, Allentown, PA 18195-1038 | 2020-09-28 |
| 1629683248 | Krystle Fulton | Nurse Practitioner | 7535 Windsor Dr # 100, Allentown, PA 18195-1014 | 2020-09-10 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1629531108 | Khadian Smith | Nurse Practitioner | 7248 Tilghman St Ste 160, Allentown, PA 18106-9562 | 2019-04-10 |
| 1326502774 | Alexander Anthony Morris | Nurse Practitioner | 780 N Krocks Rd # 101, Allentown, PA 18106-9075 | 2019-01-29 |
| 1609384908 | Elijah Kimutai Chumo | Nurse Practitioner | 920 Beverly Dr, Allentown, PA 18103-3724 | 2018-01-21 |
| 1871004598 | Danielle A Garzillo | Nurse Practitioner | 3050 Hamilton Blvd Ste 100, Allentown, PA 18103-3691 | 2017-10-20 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1487191045 | Kathleen Baldwin | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103-6369 | 2017-01-20 |
| 1184029886 | Lynette M. Dondero | Nurse Practitioner | 707 Hamilton Streeet, Suite 301, Allentown, PA 18101 | 2014-10-24 |
| Find all providers in ALLENTOWN | ||||
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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.