TALIA SARAH FRADKIN
NPI 1669273686
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Q: What is Talia Fradkin's NPI number?

The NPI number for Talia Fradkin is 1669273686. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Q: What is Talia Fradkin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Talia Fradkin was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2025PECOS Enrolled

2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-8242 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Talia Sarah Fradkin NPPES

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

TALIA SARAH FRADKIN (NPI 1669273686) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669273686

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTALIA SARAH FRADKIN

Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148

Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · (904) 639-8242

Phone(904) 639-8242

Sole ProprietorNo

Enumeration DateMarch 24, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1669273686 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.

2001 KINGSLEY AVE, Orange Park, FL 32073

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Talia Sarah Fradkin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JOHN DUNLAP CRNA

Nurse Anesthetist, Certified Registered