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CHRISTIAN JOSEPH FREDERICKSON MD
NPI 1124915202
Student in an Organized Health Care Education/Training Program in Jefferson, LA

Active since June 20, 2025PECOS Enrolled
1401 JEFFERSON HWY FL CENTER1, JEFFERSON, LA 70121(504) 842-3260(504) 842-3193 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christian Joseph Frederickson Md NPPES

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

CHRISTIAN JOSEPH FREDERICKSON MD (NPI 1124915202) is an individual student in an organized health care education/training program in Jefferson, Louisiana, licensed in Louisiana (347615) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124915202
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTIAN JOSEPH FREDERICKSONCredential: MD
Location Address1401 JEFFERSON HWY FL CENTER1Jefferson, LA 70121-2426
Mailing Address4206 S Galvez StNew Orleans, LA 70125-4524 · (301) 222-7889
Phone(504) 842-3260
Fax(504) 842-3193
Sole ProprietorNo
Enumeration DateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1124915202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in LA · 347615
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1401 JEFFERSON HWY FL CENTER1, Jefferson, LA 70121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Joseph Frederickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

JOSEPH DUAS HEBERT IV
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY FL CENTER1
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
JORDAN ASHLEIGH THOMPSON DO
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY FL CENTER1
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
SYDNEY M CLAYPOOLE MD
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY FL CENTER1
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
ADAM KIDD MD
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY FL CENTER1
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
ALYSSA CAROLINE BREEDLOVE DO
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY FL CENTER1
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
ABIGAIL MACKENZIE GREEN
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY FL CENTER1
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260
DR. MARK ALAN BELL MD
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY FL CENTER1
NEW ORLEANS, LA 70121
Jefferson Parish (832) 819-7763
RISHI SESHADRI
Student in an Organized Health Care Education/Training Program
1401 JEFFERSON HWY FL CENTER1
JEFFERSON, LA 70121
Jefferson Parish (504) 842-3260

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 Christian Frederickson's NPI number?

The NPI number for Christian Frederickson is 1124915202. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Christian Frederickson located?

Christian Frederickson practices at 1401 Jefferson Hwy Fl Center1, Jefferson, LA 70121. The listed phone number is (504) 842-3260.

What is Christian Frederickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christian Frederickson enrolled in Medicare?

Yes. Christian Frederickson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Frederickson was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.