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TRADITIONS OF FREDERIC
NPI 1588089114
Assisted Living Facility in Frederic, WI

Active since February 18, 2014CLIA Certified · 2 labs
107 OAK ST E, FREDERIC, WI 54837(715) 327-4888 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Traditions Of Frederic NPPES

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

TRADITIONS OF FREDERIC (NPI 1588089114) is a healthcare organization registered as an assisted living facility in Frederic, Wisconsin and active in the NPI registry since February 2014. The organization holds 2 active CLIA laboratory certificates and lists Andrew Mayo, Owner, as its authorized official.

NPPES Registry Identity

NPI1588089114
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTRADITIONS OF FREDERIC
Location Address107 OAK ST EFrederic, WI 54837-9500
Mailing Address107 Oak St EFrederic, WI 54837-9500 · (715) 327-4889 · Fax (715) 327-4890
Phone(715) 327-4888
Organization SubpartNo
Authorized OfficialAndrew MayoOwner · (715) 497-6101
Enumeration DateFebruary 18, 2014
Last NPPES UpdateJune 30, 2015
✔ NPI 1588089114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in WI · 0013890
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
107 OAK ST E, Frederic, WI 54837
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2074491

Traditions Of Frederic 1 · Frederic, WI
Active · expires Mar 10, 2028
CLIA Number52D2074491
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorSam Neurer
Laboratory Phone(715) 327-4888
Laboratory LocationTraditions Of Frederic 1107 E Oak Street, Frederic, WI 54837
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2122845

Traditions Of Frederic 2 · Frederic, WI
Active · expires Dec 6, 2026
CLIA Number52D2122845
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorMs. Jennifer Bird
Laboratory Phone(715) 327-4888
Laboratory LocationTraditions Of Frederic 2105 E Oak Street, Frederic, WI 54837
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Traditions Of Frederic's NPI number?

The NPI number for Traditions Of Frederic is 1588089114. It was assigned to this organization in the NPPES registry on February 18, 2014.

Where is Traditions Of Frederic located?

Traditions Of Frederic is located at 107 Oak St E, Frederic, WI 54837. The listed phone number is (715) 327-4888.

What is Traditions Of Frederic's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Traditions Of Frederic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Traditions Of Frederic was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.