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RAYNETTE FREDERICKS LPN
NPI 1194547208
Licensed Practical Nurse in Bremerton, WA

Active since October 29, 2024
1520 NE RIDDELL RD # 110, BREMERTON, WA 98310(786) 518-8971 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raynette Fredericks Lpn NPPES

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

RAYNETTE FREDERICKS LPN (NPI 1194547208) is an individual licensed practical nurse in Bremerton, Washington, licensed in Florida (PN5173031) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1194547208
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameRAYNETTE FREDERICKSCredential: LPN
Location Address1520 NE RIDDELL RD # 110Bremerton, WA 98310-3005
Mailing Address1970 Ne Fuson Rd Apt 204Bremerton, WA 98311-3739 · (786) 518-8971
Phone(786) 518-8971
Sole ProprietorNo
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1194547208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN5173031
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1520 NE RIDDELL RD # 110, Bremerton, WA 98310
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Other Providers at the Same Location NPPES 2

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

BEVERLY MICHELLE JOHNSON SUDP/RN
Counselor (Addiction (Substance Use Disorder))
1520 NE RIDDELL RD # 110
BREMERTON, WA 98310
Kitsap County (360) 228-7246
STACEY MORT
Counselor (Addiction (Substance Use Disorder))
1520 NE RIDDELL RD # 110
BREMERTON, WA 98310
Kitsap County (360) 415-5870

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 Raynette Fredericks's NPI number?

The NPI number for Raynette Fredericks is 1194547208. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Raynette Fredericks located?

Raynette Fredericks practices at 1520 NE Riddell Rd # 110, Bremerton, WA 98310. The listed phone number is (786) 518-8971.

What is Raynette Fredericks's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Raynette Fredericks was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.