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DR. BLAKE FREDERICKSEN DO
NPI 1265372882
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since March 31, 2026
900 S LIMESTONE, CTW 304, LEXINGTON, KY 40536(859) 323-2834 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Blake Fredericksen Do NPPES

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

DR. BLAKE FREDERICKSEN DO (NPI 1265372882) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1265372882
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BLAKE FREDERICKSENCredential: DO
Location Address900 S LIMESTONE, CTW 304Lexington, KY 40536-0293
Mailing Address900 S Limestone, Ctw 304Lexington, KY 40536-0293
Phone(859) 323-2834
Sole ProprietorNo
Enumeration DateMarch 31, 2026
Last NPPES UpdateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1265372882 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
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.
900 S LIMESTONE, Lexington, KY 40536
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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.

WYCLIFFE OPII
Internal Medicine
900 S LIMESTONE, 304B CHARLES T. WETHINGTON BUILDING
LEXINGTON, KY 40536
Fayette County (859) 323-9918
BRADY MOORE
Physician Assistant
900 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-1100
REECE DICKEN
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (270) 404-0781
ABIGAIL ROSE HASLINGER MD
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE, CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
CHLOE ELAINE POWER
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE, CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
MCKENZIE CHASE ELLINGSWORTH
Specialist/Technologist (Athletic Trainer)
900 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-1100
DR. DALTON CHASE MCCOWN
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE, CTW 304
LEXINGTON, KY 40536
Fayette County (859) 323-2834
DULCE MARIA SANCHEZ-TUNKS
Student in an Organized Health Care Education/Training Program
900 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-1100

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 Blake Fredericksen's NPI number?

The NPI number for Blake Fredericksen is 1265372882. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Blake Fredericksen located?

Blake Fredericksen practices at 900 S Limestone Ctw 304, Lexington, KY 40536. The listed phone number is (859) 323-2834.

What is Blake Fredericksen's specialty?

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

When was this NPI record last updated?

The NPPES record for Blake Fredericksen was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.