RENAY K. FREDETTE (NPI# 1154351203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154351203 |
Entity Type | Individual |
Full Name | RENAY K. FREDETTE |
Credential | MD |
Practice Address |
5580 Nordic Pl Ferndale WA 98248-9138 |
Mailing Address |
709 W Orchard Dr Suite #4 Bellingham WA 98225-1766 |
Practice Telephone | 3603841511 |
Practice Fax Number | 3603845758 |
Mailing Telephone | 3603188800 |
Mailing Fax Number | 3603181085 |
Enumeration Date | 2006-07-04 |
Last Update Date | 2010-01-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 35087762 | OH | Allopathic & Osteopathic Physicians |
Y | 207Q00000X | Family Medicine | MD60074818 | WA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 35087762 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8551772 | 05 | |
WA | LABOR AND INDUSTRIES | 0252294 | 01 |
WA | AETNA | 9764091 | 01 |
WA | MEDICARE ID | G8885380 | 01 |
OH | 2678679 | 05 |
Street Address |
5580 NORDIC PL |
City | FERNDALE |
State | WA |
Zip Code | 98248-9138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952306490 | Erin Michelle Maloney | Physician Assistant | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2005-06-20 |
1972053965 | Rebecca Brejcha | Nurse Practitioner | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2016-10-13 |
1457761322 | Walter Kalani Snyder | Family Medicine | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2014-05-01 |
1881919769 | Claudia Rocio Rey | Family Medicine | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2010-04-02 |
1669520029 | Sheila Marie Fluetsch | Physician Assistant | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2007-01-08 |
1316990740 | David A. Hansen | Family Medicine | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2006-05-18 |
1730175027 | Alejandro Rey | Family Medicine | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2005-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366050833 | Cascade Connections | In Home Supportive Care | 1354 Pacific Place, Suite 101, Ferndale, WA 98248 | 2020-07-21 |
1073135976 | Amrit Kaur | Respiratory Therapist, Certified | 6158 North Star Rd, Ferndale, WA 98248 | 2020-05-13 |
1437668563 | Marcie Ann Logan | Registered Nurse | 5661 Eagle Parkway, Apt. 4, Ferndale, WA 98248 | 2017-09-20 |
1215468640 | Crystal Dawn Phipps | Pharmacist | 5655 3rd Ave., Ferndale, WA 98248 | 2017-03-27 |
1295143568 | Marion L Winisky | Registered Nurse | 2350 Douglas Rd #40, Ferndale, WA 98248 | 2014-07-30 |
1225472186 | Loops Flexbrush, LLC | Durable Medical Equipment & Medical Supplies | 7152 Everett Rd, Ferndale, WA 98248 | 2013-04-23 |
1982984043 | Anthony Allen Gardiner | Dentist | 2030 Alder St, Ferndale, WA 98248 | 2011-08-22 |
1942592696 | Norman Tang | Pharmacist | 2057 Alder Street, Ferndale, WA 98248 | 2011-05-12 |
1316178692 | Linh T Vu | Dentist | 2086 Main St, Ferndale, WA 98248 | 2009-08-04 |
1770724965 | Michael Alexander Glen | Pharmacist | Haggen Food and Pharmacy, 1815 Main Street, Ferndale, WA 98248 | 2009-03-17 |
Find all providers in zip 98248 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679114805 | Phyllis Adolphus Nelson | Family Medicine | 362 E Troy St Uppr, Ferndale, MI 48220-2851 | 2019-09-29 |
1962704239 | Jacklyn Price | Family Medicine | 725 E 9 Mile Rd, Ferndale, MI 48220-1965 | 2010-11-18 |
1942440052 | Samuel G Browning | Family Medicine | 5616 3rd Ave., Ferndale, WA 98248 | 2009-03-02 |
1265553143 | Humboldt Medical Group, Inc | Family Medicine | 528 Washington Street, Ferndale, CA 95536 | 2007-04-02 |
1457417420 | Thomas J Chwierut | Family Medicine | 641 W 9 Mile Rd Ste B, Ferndale, MI 48220-1779 | 2006-12-27 |
1356409973 | Gurudarshan S Khalsa | Family Medicine | 484 Academy St, Ferndale, MI 48220-2821 | 2006-12-05 |
1225071830 | Bertha H Safford | Family Medicine | 5580 Nordic Way, Ferndale, WA 98248 | 2006-06-13 |
1104815232 | Robert C Levine | Family Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2005-10-20 |
1952396103 | Tamara Smith Dennis | Family Medicine | 638 Main Street, Ferndale, CA 95536-1157 | 2005-09-14 |
1457761322 | Walter Kalani Snyder | Family Medicine | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2014-05-01 |
Find all providers in FERNDALE |
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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.