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MR. DOUGLAS E FREDERICK ARNP
NPI 1174528053
Nurse Practitioner in Wichita, KS

Active since June 16, 2005
1947 N FOUNDERS CIR, WICHITA, KS 67206(316) 613-4640(316) 689-9769 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Douglas E Frederick Arnp NPPES

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

MR. DOUGLAS E FREDERICK ARNP (NPI 1174528053) is an individual nurse practitioner in Wichita, Kansas, licensed in Kansas (45623) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1174528053
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. DOUGLAS E FREDERICKCredential: ARNP
Location Address1947 N FOUNDERS CIRWichita, KS 67206-3548
Mailing AddressPo Box 8035Wichita, KS 67208-0035 · (316) 689-9135 · Fax (316) 689-9667
Phone(316) 613-4640
Fax(316) 689-9769
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateMay 19, 2014
✔ NPI 1174528053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KS · 45623
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1947 N FOUNDERS CIR, Wichita, KS 67206
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Other Identifiers 4

Medicaid200278930EKS
Other20041080AOk Medicaid
Medicare UPINQ28327KS
Other003719299Medicare

Other Providers at the Same Location NPPES 20

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

AARON SCOTT THIESSEN MD
Otolaryngology
1947 N FOUNDERS CIR
WICHITA, KS 67206
Sedgwick County (316) 613-4680
MRS. JENNA LYNN LOOMIS AUD
Audiologist
1947 N FOUNDERS CIR
WICHITA, KS 67206
Sedgwick County (316) 613-4680
NANCY M TERRY AUDIOLOGY
Audiologist
1947 N FOUNDERS CIR
WICHITA, KS 67206
Sedgwick County (316) 613-4695
EDWARD N DIGGES MD
Otolaryngology
1947 N FOUNDERS CIR
WICHITA, KS 67206
Sedgwick County (316) 613-4680
JASON P CAMBLIN RPT
Physical Therapist
1947 N FOUNDERS CIR
WICHITA, KS 67206
Sedgwick County (316) 613-5380
MOLLY KATHERINE PIERCE
Audiologist
1947 N FOUNDERS CIR
WICHITA, KS 67206
Sedgwick County (316) 613-4695
DEBRA D CARR CRNA
Nurse Anesthetist, Certified Registered
1947 N FOUNDERS CIR
WICHITA, KS 67206
Sedgwick County (316) 613-4930
MRS. NATASHA ROBIN MORAN CPTA
Physical Therapy Assistant
1947 N FOUNDERS CIR
WICHITA, KS 67206
Sedgwick County (316) 613-4600

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 Douglas Frederick's NPI number?

The NPI number for Douglas Frederick is 1174528053. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Douglas Frederick located?

Douglas Frederick practices at 1947 N Founders Cir, Wichita, KS 67206. The listed phone number is (316) 613-4640.

What is Douglas Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Douglas Frederick 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.