SARAH CHARLENE FREDRICKSON (NPI# 1568691806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568691806 |
| Entity Type | Individual |
| Full Name | SARAH CHARLENE FREDRICKSON |
| Practice Address |
6691 Convoy Ct San Diego CA 92111-1008 |
| Practice Telephone | 8587151211 |
| Practice Fax Number | 8587151274 |
| Mailing Telephone | 8587151211 |
| Mailing Fax Number | 8587151274 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN235040 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639543028 | Sarah Ann Fredrickson | Physician Assistant | 8990 Washington St, Thornton, CO 80229-4537 | 2015-11-23 |
| 1447502315 | Sarah Fredrickson | Counselor | 1941 S 42nd St, Ste 129, Omaha, NE 68105-2939 | 2012-10-03 |
| 1609124619 | Sarah Remington Fredrickson | Counselor | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2012-08-22 |
| Street Address |
6691 CONVOY CT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700078417 | Paula Leeann Hutchinson | Counselor | 6691 Convoy Ct, San Diego, CA 92111-1008 | 2007-08-16 |
| 1477800944 | Leticia Frees Parker | Counselor | 6691 Convoy Ct, San Diego, CA 92111-1008 | 2012-08-14 |
| 1598012726 | Lisa Marie Fernandez | Counselor | 6691 Convoy Ct, San Diego, CA 92111-1008 | 2012-08-07 |
| 1083988745 | Michael Colin Mckay | Counselor | 6691 Convoy Ct, San Diego, CA 92111-1008 | 2012-02-28 |
| 1467729400 | Thomas Edward Wightman Jr. | Physician Assistant | 6691 Convoy Ct, San Diego, CA 92111-1008 | 2011-11-18 |
| 1861709644 | Wayne Antonio Wilkins | Counselor | 6691 Convoy Ct, San Diego, CA 92111 | 2010-09-01 |
| 1932392313 | Julia A. Sledge | Counselor | 6691 Convoy Ct, San Diego, CA 92111-1008 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908782 | Ying Pan | Licensed Vocational Nurse | 9909 Azuaga St Unit C107, San Diego, CA 92129-6019 | 2020-10-05 |
| 1194336982 | Adelita Jasso | Licensed Vocational Nurse | 446 Alta Rd # 300, San Diego, CA 92158-0001 | 2020-08-14 |
| 1750909156 | Hillary Carlson | Licensed Vocational Nurse | 4651 36th St, San Diego, CA 92116-3642 | 2020-07-12 |
| 1841816501 | Cristiana Paris Zajac | Licensed Vocational Nurse | 2654 Worden St Unit 106, San Diego, CA 92110-5849 | 2020-06-18 |
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1720555659 | Noelle Dizon | Licensed Vocational Nurse | 3585 Acacia St, San Diego, CA 92113-3130 | 2018-10-29 |
| 1285114728 | Tashiya Jean Miller | Licensed Vocational Nurse | 3053 Chamoune Ave, San Diego, CA 92105-4307 | 2018-08-15 |
| 1013402445 | Eduardo Carrera | Licensed Vocational Nurse | 11210 Corte Playa Corona, San Diego, CA 92124-4134 | 2018-06-27 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| Find all providers in SAN DIEGO | ||||
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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.