KAREN J FREDRICK RN, WHNP, MSN, NP-C
NPI 1679569826
Nurse Practitioner - Family in Kenosha, WI

Q: What is Karen Fredrick's NPI number?

The NPI number for Karen Fredrick is 1679569826. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Karen Fredrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Fredrick was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 23, 2005

4303 39TH AVE, KENOSHA, WI 53144(622) 653-4444(262) 925-0440 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Karen J Fredrick Rn, Whnp, Msn, Np-c NPPES

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

KAREN J FREDRICK RN, WHNP, MSN, NP-C (NPI 1679569826) is an individual family provider in Kenosha, Wisconsin, licensed in Wisconsin (4412-33) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1679569826

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAREN J FREDRICKCredential: RN, WHNP, MSN, NP-C

Location Address4303 39TH AVEKenosha, WI 53144-1969

Mailing Address4303 39th AveKenosha, WI 53144-1969 · (262) 653-4444 · Fax (262) 925-0440

Phone(622) 653-4444

Fax(262) 925-0440

Sole ProprietorYes

Enumeration DateSeptember 23, 2005

Last NPPES UpdateJuly 14, 2020

NPPES CertifiedJuly 14, 2020

✔ NPI 1679569826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 4412-33

Also ListedRegistered NurseTaxonomy 163W00000X · License 78408-030 (WI)

4303 39TH AVE, Kenosha, WI 53144

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Other Identifiers 2

Medicaid1679569826WI

Medicaid43949100WI

Other Providers at the Same Location NPPES 2

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

ELIZABETH LOUISE ARMSTRONG APN

Nurse Practitioner (Family)

4303 39TH AVE
KENOSHA, WI 53144

Kenosha County (262) 653-4444

PREMISE HEALTH OF WISCONSIN MEDICAL SC

Clinic/Center (Multi-Specialty)

4303 39TH AVE
KENOSHA, WI 53144

Kenosha County (262) 653-4444

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 Karen Fredrick's NPI number?

The NPI number for Karen Fredrick is 1679569826. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Karen Fredrick located?

Karen Fredrick practices at 4303 39th Ave, Kenosha, WI 53144. The listed phone number is (622) 653-4444.

What is Karen Fredrick'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 Karen Fredrick was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.