BOBBIE FREDERICK APRN NPI 1841958709

NPI Information

  • NPI: 1841958709
  • Provider Name: BOBBIE FREDERICK, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 60 PHILLIPS BRANCH RD
    PHELPS, KY
    ZIP 41553
  • Phone: (731) 394-1145

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NPI Details

Bobbie Frederick, APRN is a family nurse practitioner in Phelps, KY. Bobbie Frederick, APRN NPI is 1841958709. 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:

60 PHILLIPS BRANCH RD
PHELPS, KY
ZIP 41553-061
Phone: (731) 394-1145

The NPI 1841958709 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 5/8/2024.

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
1163W00000XRegistered Nurse1124253KENTUCKYNo
2363LF0000XNurse PractitionerFamily4015323KENTUCKYYes

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
11124253OTHERKENTUCKYKENTUCKY BOARD OF NURSING

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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