RYAN M FREDERICK (NPI# 1902096498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902096498 |
| Entity Type | Individual |
| Full Name | RYAN M FREDERICK |
| Credential | LPC |
| Practice Address |
515 Enterprise Dr 300 Lowell AR 72745-8982 |
| Practice Telephone | 4797177626 |
| Practice Fax Number | 4797177627 |
| Mailing Telephone | 4797177626 |
| Mailing Fax Number | 4797177627 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1509105 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780297515 | Ryan Frederick | Social Worker | 1115 Ball Ave Ne Bldg A, Grand Rapids, MI 49505-5904 | 2020-08-31 |
| 1164870630 | Ryan Frederick | Registered Nurse | 401 New Karner Rd, Albany, NY 12205-3840 | 2016-05-25 |
| 1902111743 | Ryan Frederick | Pharmacist | 55 W Apache Trl, Apache Junction, AZ 85120-3412 | 2010-08-17 |
| Street Address |
515 ENTERPRISE DR 300 |
| City | LOWELL |
| State | AR |
| Zip Code | 72745-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497063432 | Angela Michelle Jones | Psychologist | 515 Enterprise Dr 300, Lowell, AR 72745-8982 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442706 | Harps Food Stores, Inc. | Pharmacy | 916 W Monroe Ave., Lowell, AR 72745 | 2018-10-03 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1306398151 | Keegan Sutton | Occupational Therapist | 612 S Lincoln, Ste A, Lowell, AR 72745 | 2016-10-27 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1407094220 | Dr. Angela Moore Family Chiropractic, P.l.c. | Chiropractor | 117 S Dixieland St, Ste B, Lowell, AR 72745 | 2009-02-02 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1356593479 | University of Arkansas for Medical Sciences | Registered Nurse | 519 Latham Drive, Lowell, AR 72745 | 2008-10-21 |
| 1912039827 | Looper Chiropractic Pa | Chiropractor | 200 S Bloomington, Ste I, Lowell, AR 72745 | 2007-03-09 |
| Find all providers in zip 72745 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003110990 | Andrew Keodara Phomthavong | Counselor | 298 Walker Street, Lowell, MA 01851 | 2011-01-06 |
| 1477867075 | Adam Jacob Martin | Counselor | 2118 Sandpiper Ave, Lowell, AR 72745-8673 | 2010-08-06 |
| 1235301227 | Teresa Raper Collins | Counselor | 2012 Alton Ct, Lowell, NC 28098-2205 | 2008-03-31 |
| 1386653723 | Amy Michelle Adams | Counselor | 821 Paradise Pl, Lowell, AR 72745-9312 | 2006-08-05 |
| 1528001955 | Susan Denise Walker | Counselor | 322d N Bloomington St, Lowell, AR 72745-9136 | 2006-06-14 |
| 1902410038 | Giovana Sacchetto Lippi | Counselor | 77 E Merrimack St, Lowell, MA 01852-1251 | 2020-09-04 |
| 1356976286 | Lee Weeks | Counselor | 11630 Fulton St E, Lowell, MI 49331-9426 | 2020-03-11 |
| 1629614862 | Jose A Dominguez | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-22 |
| 1902454143 | Laken Rachelle Colby | Counselor | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2019-08-30 |
| 1720635469 | Kristin Lothschutz | Counselor | 11650 Downes St Ne, Lowell, MI 49331-9489 | 2019-08-19 |
| Find all providers in LOWELL | ||||
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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.