MRS. SHEILA ANN FREDERICK (NPI# 1063975621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063975621 |
| Entity Type | Individual |
| Full Name | MRS. SHEILA ANN FREDERICK |
| Credential | AGNP-C |
| Practice Address |
65 Patton Cemetary Rd Fulton MS 38843-9353 |
| Practice Telephone | 6622138086 |
| Mailing Telephone | 6622138086 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
903158 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811498603 | Sheila Frederick | Social Worker | 110 W Neptune Rd, Kissimmee, FL 34741-5003 | 2018-02-27 |
| Street Address |
65 PATTON CEMETARY RD |
| City | FULTON |
| State | MS |
| Zip Code | 38843-9353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| 1568843332 | Jordan Webster Steele | Family Medicine | 384 Mount Pisgah Road, Fulton, MS 38843 | 2015-06-17 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1740416429 | Joshua Michael Hatfield | Optometrist | 1310 E Walker St, Fulton, MS 38843 | 2009-06-08 |
| 1174691141 | Ronald L. Wheeler | Dentist | 1309 South Adams Street, Fulton, MS 38843 | 2006-11-30 |
| 1003990193 | Total Eye Care PC | Optometrist | 1310 E. Walker St., Fulton, MS 38843 | 2006-10-25 |
| 1477658912 | Rodolfo Noche Arriola | General Practice | 418 Hospital Rd, 1, Fulton, MS 38843 | 2006-09-13 |
| 1720095896 | Timothy J Evans | Nurse Practitioner | 1301 S Adams St, Fulton, MS 38843 | 2006-08-02 |
| 1376567941 | Gerald E. Klein | Chiropractor | 101 Wheeler Dr Suite B, Fulton, MS 38843 | 2006-07-27 |
| 1497197529 | Adrianna Beth Johnson | Physical Therapist | 406 Interchange Drive, Fulton, MS 38843 | 2013-07-17 |
| Find all providers in zip 38843 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1316500887 | Hollie Waldron | Nurse Practitioner | 408 Council Cir Ste C, Tupelo, MS 38801-4949 | 2019-04-19 |
| 1992263685 | Nadine Theresa James | Nurse Practitioner | 1214 Velma St, Hattiesburg, MS 39402-2751 | 2019-03-12 |
| 1396202396 | Roxane Theresa Moncure | Nurse Practitioner | 919 Rutherford Dr, Jackson, MS 39206-2033 | 2019-02-26 |
| 1750889416 | Katherine Bolden | Nurse Practitioner | 1666 Highway 19 S, Meridian, MS 39301-8209 | 2018-01-29 |
| 1306350129 | Tamika M Broome | Nurse Practitioner | 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 | 2017-12-01 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1134589930 | Rebecca L. Cauthen | Nurse Practitioner | 885 Liberty Rd Ste 300, Flowood, MS 39232-9006 | 2016-03-07 |
| 1114399284 | Kristie G Jenkins | Nurse Practitioner | 2908 S Lamar Blvd, Suite 100, Oxford, MS 38655-5354 | 2015-10-28 |
| 1699099911 | Michael Don King | Nurse Practitioner | 188 W Oxford St, Pontotoc, MS 38863-2006 | 2010-03-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. SHEILA ANN FREDERICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.