LARA ELLEN KING-FREDERICK (NPI# 1548587272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548587272 |
| Entity Type | Individual |
| Full Name | LARA ELLEN KING-FREDERICK |
| Other Name | LARA ELLEN FREDERICK |
| Credential | N.P. |
| Practice Address |
16061 Bear Valley Rd Suite 7 Hesperia CA 92345-1730 |
| Practice Telephone | 7609480980 |
| Practice Fax Number | 7609483510 |
| Mailing Telephone | 7609480980 |
| Mailing Fax Number | 7609483510 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10643 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16061 BEAR VALLEY RD SUITE 7 |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1437403599 | Patricia Louise Lucken | Nurse Practitioner | 15398 Main Street, Suite A, Hesperia, CA 92345-3391 | 2012-10-28 |
| 1760674436 | Cheryl L. Marino | Nurse Practitioner | 7946 Cottonwood Ave, Hesperia, CA 92345-4213 | 2007-08-15 |
| 1730788977 | Rebecca Sue Alfonzo | Nurse Practitioner | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2020-10-20 |
| 1114421211 | Halima Zainab | Nurse Practitioner | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2018-03-22 |
| 1205336963 | Irina M Jovel | Nurse Practitioner | 16455 Main St, Hesperia, CA 92345-3554 | 2018-02-19 |
| 1851801443 | Eric Zywicki | Nurse Practitioner | 12021 Jacaranda Ave, Hesperia, CA 92345-4978 | 2017-10-09 |
| 1962854034 | Jennifer L Hernandez | Nurse Practitioner | 14575 Main St, Hesperia, CA 92345-3322 | 2016-07-12 |
| 1942699939 | Stephanie Bridgman Sevilla | Nurse Practitioner | 15398 Main St, Hesperia, CA 92345-3390 | 2015-01-14 |
| 1891036950 | Abigail Tamru | Nurse Practitioner | 11919 Hesperia Rd, Hesperia, CA 92345-2158 | 2013-03-13 |
| Find all providers in HESPERIA | ||||
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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.