CARLIE ANN FREDERICK APRN NPI 1497984603

NPI Information

NPI: 1497984603
Provider Name: CARLIE ANN FREDERICK, APRN
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Adolescent

PECOS Registration: Yes

Address:
2000 16TH AVE
COLUMBUS, GA
ZIP 31901
Phone: (706) 320-3700
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Carlie Ann Frederick, APRN is a psychiatric/mental health and child and adolescent clinical nurse specialist in Columbus, GA with 33 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 7/25/2015.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	RN095043	GEORGIA	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	RN095043	GEORGIA	No
3	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	RN095043	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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