DAWN RENEE FREDERIC ARNP NPI 1962851501

NPI Information

  • NPI: 1962851501
  • Provider Name: DAWN RENEE FREDERIC, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1619 CREIGHTON RD STE 1
    PENSACOLA, FL
    ZIP 32504
  • Phone: (850) 444-4700

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NPI Details

Dawn Renee Frederic, ARNP is a family nurse practitioner in Pensacola, FL. Dawn Renee Frederic, ARNP NPI is 1962851501. 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:

1619 CREIGHTON RD STE 1
PENSACOLA, FL
ZIP 32504
Phone: (850) 444-4700
Fax: (850) 444-7497

The NPI 1962851501 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 6/5/2016 and was last updated on 8/31/2018.

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
1363L00000XNurse Practitioner1-147554ALABAMANo
2363LF0000XNurse PractitionerFamilyARNP9476463FLORIDAYes

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
1023401500MEDICAIDFLORIDA

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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