HEATHER LEIGH FREDERICK MA
NPI 1881175578
Contractor in Lake Park, GA

Active since August 22, 2018
5310 MOSS OAK TRL, LAKE PARK, GA 31636(217) 299-1074 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Heather Leigh Frederick Ma NPPES

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

HEATHER LEIGH FREDERICK MA (NPI 1881175578) is an individual contractor provider in Lake Park, Georgia and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1881175578
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameHEATHER LEIGH FREDERICKCredential: MA
Location Address5310 MOSS OAK TRLLake Park, GA 31636-3300
Mailing Address5310 Moss Oak TrlLake Park, GA 31636-3300 · (217) 299-1074
Sole ProprietorYes
Enumeration DateAugust 22, 2018
NPI 1881175578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
5310 MOSS OAK TRL, Lake Park, GA 31636

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 Heather Frederick's NPI number?

The NPI number for Heather Frederick is 1881175578. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Heather Frederick located?

Heather Frederick practices at 5310 Moss Oak Trl, Lake Park, GA 31636. The listed phone number is (217) 299-1074.

What is Heather Frederick's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Heather Frederick was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.