KATHERINE CHALKLEY FREDERICK FNP-BC NPI 1124572433

NPI Information

  • NPI: 1124572433
  • Provider Name: KATHERINE CHALKLEY FREDERICK, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 243 CHURCH ST NW STE 100C
    VIENNA, VA
    ZIP 22180
  • Phone: (703) 255-3067

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NPI Details

Katherine Chalkley Frederick, FNP-BC is a family nurse practitioner in Vienna, VA. Katherine Chalkley Frederick, FNP-BC NPI is 1124572433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

243 CHURCH ST NW STE 100C
VIENNA, VA
ZIP 22180-434
Phone: (703) 255-3067

The NPI 1124572433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 8/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024173680VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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