NEELY RICHARDSON FREDERICK NP-C NPI 1275924433

NPI Information

  • NPI: 1275924433
  • Provider Name: NEELY RICHARDSON FREDERICK, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4400 UNIVERSITY DR BLDG 1
    FAIRFAX, VA
    ZIP 22030
  • Phone: (703) 993-2831

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NPI Details

Neely Richardson Frederick, NP-C is a family nurse practitioner in Fairfax, VA. Neely Richardson Frederick, NP-C NPI is 1275924433. 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:

4400 UNIVERSITY DR BLDG 1
FAIRFAX, VA
ZIP 22030-444
Phone: (703) 993-2831
Fax: (703) 993-4365

The NPI 1275924433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/26/2024.

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
1363L00000XNurse PractitionerLG-0000992DELAWARENo
2363LF0000XNurse PractitionerFamily5007466NORTH CAROLINANo
3363LF0000XNurse PractitionerFamily0024185660VIRGINIAYes

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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