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MRS. KATIE LEE FREDERICKSON FNP-BC
NPI 1104237544
Nurse Practitioner - Family in Camarillo, CA

Active since May 19, 2014
2438 N PONDEROSA DR, C-105, CAMARILLO, CA 93010(805) 388-2068(805) 484-7700 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Katie Lee Frederickson Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATIE LEE FREDERICKSON FNP-BC (NPI 1104237544) is an individual family provider in Camarillo, California, licensed in California (NP95000513) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1104237544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATIE LEE FREDERICKSONCredential: FNP-BC
Location Address2438 N PONDEROSA DR, C-105Camarillo, CA 93010-2369
Mailing Address2438 N Ponderosa Dr, C-105Camarillo, CA 93010-2369 · (805) 388-2068 · Fax (805) 484-7700
Phone(805) 388-2068
Fax(805) 484-7700
Sole ProprietorYes
Enumeration DateMay 19, 2014
✔ NPI 1104237544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95000513
2438 N PONDEROSA DR, Camarillo, CA 93010
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2438 N PONDEROSA DR, STE C101
CAMARILLO, CA 93010
Ventura County (805) 764-0171
LEOPOLD WEINSTEIN DDS
Dentist (General Practice)
2438 N PONDEROSA DR, SUITE C217
CAMARILLO, CA 93010
Ventura County (805) 484-1611
SUSAN S. CHANG MD
Internal Medicine (Nephrology)
2438 N PONDEROSA DR, SUITE # C-101
CAMARILLO, CA 93010
Ventura County (805) 383-9727
CHRISTOPHER W. LOH MD APC
Internal Medicine (Cardiovascular Disease)
2438 N PONDEROSA DR, SUITE C201
CAMARILLO, CA 93010
Ventura County (805) 484-4612
DR. YUMIN QIU M.D.
Internal Medicine
2438 N PONDEROSA DR, BUILDING C, SUITTE 201
CAMARILLO, CA 93010
Ventura County (805) 484-4612
CHRISTOPHER W LOH MD
Internal Medicine (Cardiovascular Disease)
2438 N PONDEROSA DR, SUITE C201
CAMARILLO, CA 93010
Ventura County (805) 484-8479
KIDNEY DIALYSIS CENTER OF CAMARILLO,LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2438 N PONDEROSA DR, SUITE # 101
CAMARILLO, CA 93010
Ventura County (805) 765-0171
MR. JOHN WILLIAMS PERSONS DDS
Dentist (General Practice)
2438 N PONDEROSA DR, #C217
CAMARILLO, CA 93010
Ventura County (805) 484-1611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Frederickson's NPI number?

The NPI number for Katie Frederickson is 1104237544. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Katie Frederickson located?

Katie Frederickson practices at 2438 N Ponderosa Dr C-105, Camarillo, CA 93010. The listed phone number is (805) 388-2068.

What is Katie Frederickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Katie Frederickson was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.