CARLIE ANN FREDERICK APRN NPI 1497984603

NPI Information

  • NPI: 1497984603
  • Provider Name: CARLIE ANN FREDERICK, APRN
  • Classification: Clinical Nurse Specialist - 364SP0807X
  • Specialization: Psychiatric/Mental Health, Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 16TH AVE
    COLUMBUS, GA
    ZIP 31901
  • Phone: (706) 320-3700

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NPI Details

Carlie Ann Frederick, APRN is a psychiatric/mental health and child and adolescent clinical nurse specialist in Columbus, GA with 34 years of experience. Carlie Ann Frederick, APRN NPI is 1497984603. 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:

2000 16TH AVE
COLUMBUS, GA
ZIP 31901-665
Phone: (706) 320-3700

The NPI 1497984603 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 7/9/2009 and was last updated on 8/1/2024.

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
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultRN095043GEORGIANo
2364SP0807XClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentRN095043GEORGIAYes

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: 3/30/2025

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