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TAMARA FREDRICKSON
NPI 1336471911
Nurse Practitioner - Family in Boise, ID

Active since February 05, 2010
8169 W VICTORY RD, BOISE, ID 83709(208) 854-4173(208) 854-4012 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamara Fredrickson NPPES

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

TAMARA FREDRICKSON (NPI 1336471911) is an individual family provider in Boise, Idaho, licensed in Idaho (NP-319A) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1336471911
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMARA FREDRICKSON
Location Address8169 W VICTORY RDBoise, ID 83709-4164
Mailing Address8169 W Victory RdBoise, ID 83709-4164 · (208) 854-4173 · Fax (208) 854-4012
Phone(208) 854-4173
Fax(208) 854-4012
Sole ProprietorYes
Enumeration DateFebruary 5, 2010
✔ NPI 1336471911 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 ID · NP-319A
8169 W VICTORY RD, Boise, ID 83709
Open in Google Maps ↗

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%22 patients1/55-star benchmark: 85%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

INDEPENDENT SCHOOL DISTRICT OF BOISE CITY
Local Education Agency (LEA)
8169 W VICTORY RD
BOISE, ID 83709
Ada County (208) 287-2144

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 Tamara Fredrickson's NPI number?

The NPI number for Tamara Fredrickson is 1336471911. It was assigned to this individual provider in the NPPES registry on February 5, 2010.

Where is Tamara Fredrickson located?

Tamara Fredrickson practices at 8169 W Victory Rd, Boise, ID 83709. The listed phone number is (208) 854-4173.

What is Tamara Fredrickson's specialty?

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

When was this NPI record last updated?

The NPPES record for Tamara Fredrickson was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.