REBECCA FREDRICH (NPI# 1720490360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720490360 |
| Entity Type | Individual |
| Full Name | REBECCA FREDRICH |
| Credential | FNP-BC |
| Practice Address |
1771 Commercial St Warsaw MO 65355-3096 |
| Practice Telephone | 6604385193 |
| Practice Fax Number | 6604385091 |
| Mailing Telephone | 6604385193 |
| Mailing Fax Number | 6604385091 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014015285 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1771 COMMERCIAL ST |
| City | WARSAW |
| State | MO |
| Zip Code | 65355-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131723 | Erik Michael Miller | Internal Medicine | 1771 Commercial St, Warsaw, MO 65355-3096 | 2005-08-15 |
| 1730687088 | Jaima Andrea Becker | Nurse Practitioner | 1771 Commercial St, Warsaw, MO 65355-3096 | 2018-01-31 |
| 1386083186 | Jared Daniel Beck | Family Medicine | 1771 Commercial St, Warsaw, MO 65355-3096 | 2013-06-14 |
| 1982965224 | Leah Marie Rogers | Physician Assistant | 1771 Commercial St, Warsaw, MO 65355-3096 | 2012-06-04 |
| 1144537804 | Benjamin Barry Mazal | Emergency Medicine | 1771 Commercial St, Warsaw, MO 65355-3096 | 2010-09-01 |
| 1689804437 | Amber Blondean Campbell | General Practice | 1771 Commercial St, Warsaw, MO 65355-3096 | 2009-07-14 |
| 1366490971 | Golden Valley Memorial Hospital District | Clinic/Center | 1771 Commercial St, Warsaw, MO 65355-3096 | 2006-05-05 |
| 1477511418 | Phillip L. Dean | Family Medicine | 1771 Commercial St, Warsaw, MO 65355-3096 | 2006-05-01 |
| 1083682991 | Drew A Smith | Family Medicine | 1771 Commercial St, Warsaw, MO 65355-3096 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107298 | Heart Core LLC | Custodial Care Facility | 810 Kennedy Dr, Warsaw, MO 65355 | 2019-11-06 |
| 1679083588 | Back In Action Chiropractic LLC | Chiropractor | 204 W Seminary St, Warsaw, MO 65355 | 2017-10-05 |
| 1295260313 | Trey Kalbaugh | Dentist | 1631 Commercial St # 4385139, Warsaw, MO 65355 | 2017-04-26 |
| 1801247523 | Show Me Physical Therapy LLC | Physical Therapist | 1870 Commercial Street, Warsaw, MO 65355 | 2016-06-23 |
| 1972945046 | Jessica G Bell | Social Worker | 23929 U.S. Highway 65, Warsaw, MO 65355 | 2013-07-18 |
| 1518198043 | Benton County Advocates for Developmental Disabilities | Home Health | 1661 Commercial Street, Warsaw, MO 65355 | 2009-07-31 |
| 1679707731 | Porter Chiropractic Clinic PC | Chiropractor | 122 W Washington St, Warsaw, MO 65355 | 2009-05-05 |
| 1770744237 | Sara Beth Forester | Speech-Language Pathologist | 134 W Kosciusko St, Warsaw, MO 65355 | 2008-06-18 |
| 1306023056 | Chantel L Brewster | Speech-Language Pathologist | 134 Kosciusko, Warsaw, MO 65355 | 2008-01-24 |
| 1871780767 | Children's Therapy Center | Community/Behavioral Health | 127 Tower Rd., Warsaw, MO 65355 | 2007-09-25 |
| Find all providers in zip 65355 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776796 | Brandi K Shepherd | Nurse Practitioner | 1315 Fisher Ave, Warsaw, IN 46580-4810 | 2020-07-02 |
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1306275896 | Stephanie Wells | Nurse Practitioner | 1210 Provident Dr Ste B, Warsaw, IN 46580-3266 | 2013-11-05 |
| 1689820870 | Patricia L. Kinkead | Nurse Practitioner | 35391 Jackman Ave, Warsaw, MO 65355-6153 | 2008-08-07 |
| 1871537480 | Heather Joy Ward | Nurse Practitioner | 1500 Provident Drive, Ste A, Warsaw, IN 46580 | 2006-06-15 |
| 1821048117 | Vicky M. Beall | Nurse Practitioner | 302 W Main St, Warsaw, KY 41095-9304 | 2006-05-10 |
| 1699749523 | Carrie M Vangrol | Nurse Practitioner | 86 N Main St, Warsaw, NY 14569-1329 | 2006-02-15 |
| 1851902621 | Kristen M Bagot | Nurse Practitioner | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-08-13 |
| 1346878295 | Jacquelyn Janes | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-03-27 |
| 1184258782 | Michelle Mary Zeches O'neil | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-02-24 |
| Find all providers in WARSAW | ||||
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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.