JESSICA FREDERICK


Address: 313 S 5th St, Odessa, DE 19730-2078
Phone: 3023764128

JESSICA FREDERICK (NPI# 1164915013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164915013
Entity Type Individual
Full Name JESSICA FREDERICK
Practice Address 313 S 5th St
Odessa
DE 19730-2078
Practice Telephone 3023764128
Enumeration Date 2018-06-14
Last Update Date 2018-06-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
88798 DE Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DE STATE OF DELAWARE 88798 01

Other Providers JESSICA FREDERICK

NPI Name Taxonomy Address Enumeration
1588169825 Jessica Frederick Occupational Therapy Assistant 600 N Commons Dr, Aurora, IL 60504-4154 2018-03-28
1538722244 Jessica Anne Frederick Physical Therapist 724 Highlander Point Dr, Floyds Knobs, IN 47119-9442 2019-04-18
1093280042 Jessica Leigh Frederick Nurse Practitioner 1125 Madison St, Jefferson City, MO 65101-5227 2018-10-05
1124411962 Jessica Frederick Occupational Therapist 8481 Holly Rd, Grand Blanc, MI 48439-1812 2015-03-17

Office Location

Street Address 313 S 5TH ST
City ODESSA
State DE
Zip Code 19730-2078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518566983 Cheri Ruff Eleazar Registered Nurse 313 S 5th St, Odessa, DE 19730-2078 2020-10-18
1437764776 Bethany Rose Morrison Psychologist 313 S 5th St, Odessa, DE 19730-2078 2020-09-14
1386259836 Kelsey Larrimore Psychologist 313 S 5th St, Odessa, DE 19730-2078 2020-09-11
1124631999 Pamela Justis Boyle Psychologist 313 S 5th St, Odessa, DE 19730-2078 2020-08-31
1508479544 Lacie Lynn Craft Occupational Therapist 313 S 5th St, Odessa, DE 19730-2078 2020-08-28
1235742792 Jordana Woodford Psychologist 313 S 5th St, Odessa, DE 19730-2078 2020-08-25
1467064170 Ashley Nazzario Speech-Language Pathologist 313 S 5th St, Odessa, DE 19730-2078 2020-08-24
1760094866 Kara Seitz Speech-Language Pathologist 313 S 5th St, Odessa, DE 19730-2078 2020-08-19
1376188268 Peter Thistle Occupational Therapist 313 S 5th St, Odessa, DE 19730-2078 2019-11-14
1821649427 Hailey Sue Morelos Psychologist 313 S 5th St, Odessa, DE 19730-2078 2019-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497268437 Tom Bonk Contractor 167 Taylors Bridge Road, Odessa, DE 19730 2017-11-13
1154790434 Glenna Pusey Speech-Language Pathologist 313 South Fifth Street, Box 4010, Odessa, DE 19730 2015-09-17
1962669994 Gail Moyer Registered Nurse 118 S Sixth St, Odessa, DE 19730 2008-05-19
1346384070 Elizabeth Polidoro Lucas Specialist/Technologist 18 South Sixth St, Odessa, DE 19730 2007-02-16
1346384005 Denise Manna Registered Nurse 118 South Sixth St, Odessa, DE 19730 2007-02-16
1285778993 State of Delaware Local Education Agency (LEA) 313 South Fifth St, Odessa, DE 19730 2007-02-16
1982883112 Michelle Skilton Registered Nurse 118 South Sixth St, Odessa, DE 19730 2007-10-24
1982891081 Janet J Montanaro Speech-Language Pathologist 118 South Sixth St, Odessa, DE 19730 2007-10-02
1578691176 Christine Davis Registered Nurse 118 South Sixth St, Odessa, DE 19730 2007-03-02
1538295357 Elizabeth Cycyk Registered Nurse 118 South Sixth St, Odessa, DE 19730 2007-02-26
Find all providers in zip 19730

Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790244267 Gabriela Fernandez Strickland Psychologist 16117 Lytham Drive, Odessa, FL 33556 2019-03-14
1437764776 Bethany Rose Morrison Psychologist 313 S 5th St, Odessa, DE 19730-2078 2020-09-14
1386259836 Kelsey Larrimore Psychologist 313 S 5th St, Odessa, DE 19730-2078 2020-09-11
1124631999 Pamela Justis Boyle Psychologist 313 S 5th St, Odessa, DE 19730-2078 2020-08-31
1235742792 Jordana Woodford Psychologist 313 S 5th St, Odessa, DE 19730-2078 2020-08-25
1821649427 Hailey Sue Morelos Psychologist 313 S 5th St, Odessa, DE 19730-2078 2019-09-25
1396395737 Monique Goodwin Psychologist 313 S 5th St, Odessa, DE 19730-2078 2019-09-18
1265082085 Susan Alexander Jones Psychologist 313 S 5th St, Odessa, DE 19730-2078 2019-09-13
1922658731 Kristiana Rios Psychologist 313 S 5th St, Odessa, DE 19730-2078 2019-09-13
1851940050 Brittany Ballard Psychologist 313 S 5th St, Odessa, DE 19730-2078 2019-09-10
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 19730

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Dataset Information

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.

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