MS. SARAH J FREDRICKS (NPI# 1104163740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104163740 |
| Entity Type | Individual |
| Full Name | MS. SARAH J FREDRICKS |
| Credential | LPN |
| Practice Address |
1406 Holiday Drive Janesville WI 53545 |
| Mailing Address |
1406 Holiday Dr Janesville WI 53545-0406 |
| Practice Telephone | 6087189185 |
| Mailing Telephone | 6087189185 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 302-45-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771098 | Sarah Jayne Fredricks | Social Worker | 300 S State St Ste 13, Zeeland, MI 49464-1678 | 2019-10-14 |
| 1467962415 | Sarah Marie Fredricks | Pharmacist | 1350 W Lake Lansing Rd, East Lansing, MI 48823-1314 | 2017-10-04 |
| Street Address |
1406 HOLIDAY DRIVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| 1487967774 | Terri Beth Kulakow | Speech-Language Pathologist | 3418 N County Highway F, Janesville, WI 53545 | 2010-07-15 |
| Find all providers in zip 53545 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1396228052 | Nicole Denise Turner | Licensed Practical Nurse | 412 Colby Ct, Janesville, WI 53546-1947 | 2018-09-10 |
| 1801309679 | Kent Michael Hilker | Licensed Practical Nurse | 2940 Carrousel Ln Apt 8, Janesville, WI 53545-0695 | 2017-11-14 |
| 1487038121 | Brittany Lehr | Licensed Practical Nurse | 226 Knollview Dr, Janesville, WI 53548-6301 | 2015-07-13 |
| 1518384296 | Emily Vanacker | Licensed Practical Nurse | 3107 Palmer Dr Apt 5, Janesville, WI 53546-2314 | 2014-03-19 |
| 1649519315 | Donna Jean Kuehl | Licensed Practical Nurse | 302 N Palm St, Janesville, WI 53548-3596 | 2013-01-31 |
| 1376893859 | Brittney I Vandewiel | Licensed Practical Nurse | 740 Yuba St, Janesville, WI 53545-1726 | 2012-09-12 |
| 1467727545 | Paula Jo Ciebell | Licensed Practical Nurse | 4166 Deer Crossing Dr, Janesville, WI 53546-4279 | 2012-03-21 |
| 1811269913 | Kathryn Ann Gallagher | Licensed Practical Nurse | 329 N Pine St, Janesville, WI 53548-3515 | 2012-02-03 |
| 1669753224 | Christine Mcgraw | Licensed Practical Nurse | 1020 Harmony Cir Se, 1020 Harmony Circle Se, Janesville, WI 53545-2010 | 2011-09-08 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
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| 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.