KATHERINE CHALKLEY FREDERICK (NPI# 1124572433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124572433 |
| Entity Type | Individual |
| Full Name | KATHERINE CHALKLEY FREDERICK |
| Credential | FNP-BC |
| Practice Address |
243 Church St Nw Ste 100c Vienna VA 22180-4434 |
| Practice Telephone | 7032553067 |
| Mailing Telephone | 7032553067 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024173680 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688480 | Katherine Frederick | Assistant Behavior Analyst | 9130 Park Ave, Semmes, AL 36575-5322 | 2017-02-21 |
| 1639659444 | Katherine Elaine Frederick | Advanced Practice Midwife | 1701 Senate Blvd, Indianapolis, IN 46202-1239 | 2018-08-21 |
| Street Address |
243 CHURCH ST NW STE 100C |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099642 | Lindsey Ruth Gustafson | Nurse Practitioner | 2054 Meadow Springs Dr, Vienna, VA 22182-3771 | 2020-09-25 |
| 1013525310 | Sandra St Louis Thompson | Nurse Practitioner | 3946 King Graves Rd, Vienna, OH 44473 | 2020-07-22 |
| 1750857496 | Kirsten Martin Goetz | Nurse Practitioner | 8357 Leesburg Pike, Vienna, VA 22182-2493 | 2018-10-21 |
| 1780972034 | Patricia Crawford | Nurse Practitioner | 100 East Street Se, 301, Vienna, VA 22180-4800 | 2011-07-20 |
| 1144513037 | Dana Yousef | Nurse Practitioner | 303 Maple Ave W Ste C, Vienna, VA 22180-4312 | 2011-05-25 |
| 1700112596 | Anissa M Ben Aida | Nurse Practitioner | 370 Maple Ave W, Suite V, Vienna, VA 22180-5615 | 2009-10-29 |
| 1659554814 | Joy F Fellman | Nurse Practitioner | 337 Maple Avenue E, Cvs - Minute Clinic, Vienna, VA 22180 | 2007-12-11 |
| 1043371537 | Sharl Ann Trussell | Nurse Practitioner | 1212 E Union St, Vienna, GA 31092-7545 | 2006-12-12 |
| 1972687051 | Dena C Taylor | Nurse Practitioner | 803 N 1st St, Vienna, IL 62995-1544 | 2006-10-25 |
| 1578677415 | Athena Health Center, LLC | Nurse Practitioner | 1601 Grand Central Ave, Vienna, WV 26105-1082 | 2006-08-18 |
| Find all providers in VIENNA | ||||
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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.