LYNN FREDERICKS RN NPI 1841173101

NPI Information

  • NPI: 1841173101
  • Provider Name: LYNN FREDERICKS, RN
  • Classification: Registered Nurse - 163WC0400X
  • Specialization: Case Management
  • Entity Type: Individual
  • Address: 439 NW NORTH SHORE DR
    LAKE WAUKOMIS, MO
    ZIP 64151
  • Phone: (816) 674-1240

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NPI Details

Lynn Fredericks, RN is a case management registered nurse in Lake Waukomis, MO. Lynn Fredericks, RN NPI is 1841173101. 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:

439 NW NORTH SHORE DR
LAKE WAUKOMIS, MO
ZIP 64151-453
Phone: (816) 674-1240

The enumeration date for this NPI number is 7/25/2025 and was last updated on 7/25/2025.

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
1163WC0400XRegistered NurseCase Management2009012185MISSOURIYes

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

NPI Synchronization or Removal

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