1. Home
  2. Directory
  3. Alabama
  4. Columbiana
  5. Nurse Practitioner
  6. NPI Profile

JACKIE FREDERICK CRNP
NPI 1235190885
Nurse Practitioner - Family in Columbiana, AL

Active since March 31, 2006
201 OLD HIGHWAY 25 E, COLUMBIANA, AL 35051(205) 669-4884(205) 669-4883 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Frederick Crnp NPPES

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

JACKIE FREDERICK CRNP (NPI 1235190885) is an individual family provider in Columbiana, Alabama, licensed in Alabama (1-029953) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1235190885
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE FREDERICKCredential: CRNP
Location Address201 OLD HIGHWAY 25 EColumbiana, AL 35051-9373
Mailing Address110 Indian Forest TrlPelham, AL 35124-3706 · (205) 991-8422 · Fax (205) 669-4883
Phone(205) 669-4884
Fax(205) 669-4883
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateMay 7, 2013
✔ NPI 1235190885 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 AL · 1-029953
201 OLD HIGHWAY 25 E, Columbiana, AL 35051
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified013915AL · Medicare Provider Number
Medicare UPINP06534AL
Medicaid000060256AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Other Providers at the Same Location NPPES 3

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

ELIZABETH ANN BOLEN NP
Nurse Practitioner (Family)
201 OLD HIGHWAY 25 E
COLUMBIANA, AL 35051
Shelby County (205) 612-9916
JENNIFER WELDON
Nurse Practitioner (Family)
201 OLD HIGHWAY 25 E
COLUMBIANA, AL 35051
Shelby County (205) 669-4884
REBECCA MCNAIR CRNP
Nurse Practitioner (Family)
201 OLD HIGHWAY 25 E
COLUMBIANA, AL 35051
Shelby County (205) 669-4884

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 Jackie Frederick's NPI number?

The NPI number for Jackie Frederick is 1235190885. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Jackie Frederick located?

Jackie Frederick practices at 201 Old Highway 25 E, Columbiana, AL 35051. The listed phone number is (205) 669-4884.

What is Jackie Frederick's specialty?

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

What insurance does Jackie Frederick accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jackie Frederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Frederick was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.