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MR. TRACY LEE FREDERICK
NPI 1700125242
Durable Medical Equipment & Medical Supplies in Coarsegold, CA

Active since February 04, 2013
42830 REVIS CT, COARSEGOLD, CA 93614(559) 676-6788 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Tracy Lee Frederick NPPES

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

MR. TRACY LEE FREDERICK (NPI 1700125242) is an individual durable medical equipment & medical supplies provider in Coarsegold, California and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1700125242
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameMR. TRACY LEE FREDERICK
Location Address42830 REVIS CTCoarsegold, CA 93614-9637
Mailing Address42830 Revis CtCoarsegold, CA 93614-9637 · (559) 676-6788
Phone(559) 676-6788
Sole ProprietorYes
Enumeration DateFebruary 4, 2013
✔ NPI 1700125242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
42830 REVIS CT, Coarsegold, CA 93614
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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 Tracy Frederick's NPI number?

The NPI number for Tracy Frederick is 1700125242. It was assigned to this individual provider in the NPPES registry on February 4, 2013.

Where is Tracy Frederick located?

Tracy Frederick practices at 42830 Revis Ct, Coarsegold, CA 93614. The listed phone number is (559) 676-6788.

What is Tracy Frederick's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Tracy Frederick was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.