TONYA FREDERICK RN FNP NPI 1619451697

NPI Information

  • NPI: 1619451697
  • Provider Name: TONYA FREDERICK, RN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 855 MONTGOMERY ST
    FORT WORTH, TX
    ZIP 76107
  • Phone: (817) 735-2228

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NPI Details

Tonya Frederick, RN, FNP is a family nurse practitioner in Fort Worth, TX with 8 years of experience. Tonya Frederick, RN, FNP NPI is 1619451697. 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:

855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107-553
Phone: (817) 735-2228
Fax: (817) 735-2582

The NPI 1619451697 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 9/17/2018 and was last updated on 9/18/2023.

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 PractitionerFamily1118906TEXASYes
2363LF0000XNurse PractitionerFamily202100983NP-PPOREGONNo
3163W00000XRegistered Nurse202100811RNOREGONNo
4163W00000XRegistered Nurse1118906TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11118906OTHERTEXASCERTIFIED NURSE PRACTITIONER
2202100811RNOTHEROREGONRN LICENSE
31118906OTHERTEXASREGISTERED NURSE
4202100983NP-PPOTHEROREGONFNP/PRESRIBER

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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