MISS FREDERICKA LYNETTE FAIRMAN
NPI 1679389944
Nurse's Aide in Brookhaven, MS

Active since December 10, 2024
504 EASTGATE DR, BROOKHAVEN, MS 39601(601) 748-1731 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 1, 2025, Dec 10, 2024 (2 updates tracked since 2024).

About Miss Fredericka Lynette Fairman NPPES

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

MISS FREDERICKA LYNETTE FAIRMAN (NPI 1679389944) is an individual nurse's aide in Brookhaven, Mississippi, licensed in Mississippi (083949) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1679389944
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameMISS FREDERICKA LYNETTE FAIRMAN
Location Address504 EASTGATE DRBrookhaven, MS 39601-3106
Mailing Address504 Eastgate DrBrookhaven, MS 39601-3106 · (601) 748-1731
Sole ProprietorNo
Enumeration DateDecember 10, 2024
Last NPPES UpdateJanuary 1, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2025
NPI 1679389944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in MS · 083949
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
504 EASTGATE DR, Brookhaven, MS 39601

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 Fredericka Fairman's NPI number?

The NPI number for Fredericka Fairman is 1679389944. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Where is Fredericka Fairman located?

Fredericka Fairman practices at 504 Eastgate Dr, Brookhaven, MS 39601. The listed phone number is (601) 748-1731.

What is Fredericka Fairman's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Fredericka Fairman was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.