BEVERLY FREDRICK


Address: 101 S Charles St, Calmar, IA 52132-7858
Phone: 5633809242

BEVERLY FREDRICK (NPI# 1245633106) 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) 1245633106
Entity Type Individual
Full Name BEVERLY FREDRICK
Practice Address 101 S Charles St
Calmar
IA 52132-7858
Mailing Address Po Box 225
Decorah
IA 52101-0225
Practice Telephone 5633809242
Mailing Telephone 5633809242
Enumeration Date 2014-10-06
Last Update Date 2014-10-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA X000705575 05

Office Location

Street Address 101 S CHARLES ST
City CALMAR
State IA
Zip Code 52132-7858

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093231839 Infinite Angels Home Health Inc In Home Supportive Care 402 E Lewis St, Calmar, IA 52132 2017-08-14
1104020213 South Winneshiek Csd Local Education Agency (LEA) 304 S Webster Street, Calmar, IA 52132 2007-06-13
1649276437 Prabhakar Pisipati Psychiatry & Neurology 1410 N 4th St, Clinton, IA 52132 2005-06-26
1245411305 South Winneshiek Comm School Case Management 304 S Webster St, Calmar, IA 52132-0430 2007-11-16
1275784605 Megan Joann Diaz-freed Dentist 205 S Webster St, Calmar, IA 52132-0818 2008-10-03
1477073252 Melissa Marie Meyer Nurse Practitioner 106 E Main St, Calmar, IA 52132-7743 2017-06-22
1245646744 Stephanie L Cenek Nurse Practitioner 106 E Main St, Calmar, IA 52132-7743 2014-07-03
1306890959 Gundersen Clinic, Ltd. Durable Medical Equipment & Medical Supplies 106 E Main St, Calmar, IA 52132-7743 2006-05-19
1790760742 Susan K Mcmillan Nurse Practitioner 106 E Main St, Box 538, Calmar, IA 52132-7743 2005-12-13
1710485933 Infinite Angels Home Healthcare In Home Supportive Care 406 E Maple St, Po Box 382, Calmar, IA 52132-7762 2018-01-23
Find all providers in zip 52132

Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508356254 Hope for Living LLC Psychologist 250 Ne 41st St Unit 206, Ankeny, IA 50021-6016 2018-05-17
1174013445 Maxwell Sando Psychologist 250 Ne 41st Unit 260, Ankeny, IA 50021 2018-05-12
1689742439 Mosaic Psychologist 905 Highway 69 S, Forest City, IA 50436-2100 2006-12-01
1720243694 James B Knott Psychologist 100 Hawkins Dr, Center for Disabilities and Development, Iowa City, IA 52242-1016 2008-07-21
1326202482 David P Wacker Psychologist 200 Hawkins Dr, University of Iowa Hospitals and Clinics, Iowa City, IA 52242-1009 2008-07-17

Competitor

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City CALMAR
Zip Code 52132

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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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