TIANNA I FREDERICKS MD
NPI 1922800135
Student in an Organized Health Care Education/Training Program in West Orange, NJ

Q: What is Tianna Fredericks's NPI number?

The NPI number for Tianna Fredericks is 1922800135. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Tianna Fredericks'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 Tianna Fredericks was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 26, 2025

9 CORNELL ST, WEST ORANGE, NJ 07052(973) 900-3597 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Tianna I Fredericks Md NPPES

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

TIANNA I FREDERICKS MD (NPI 1922800135) is an individual student in an organized health care education/training program in West Orange, New Jersey and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1922800135

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTIANNA I FREDERICKSCredential: MD

Location Address9 CORNELL STWest Orange, NJ 07052-2509

Mailing Address9 Cornell StWest Orange, NJ 07052-2509 · (973) 900-3597

Phone(973) 900-3597

Sole ProprietorNo

Enumeration DateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1922800135 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.

9 CORNELL ST, West Orange, NJ 07052

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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 Tianna Fredericks's NPI number?

The NPI number for Tianna Fredericks is 1922800135. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Tianna Fredericks located?

Tianna Fredericks practices at 9 Cornell St, West Orange, NJ 07052. The listed phone number is (973) 900-3597.

What is Tianna Fredericks's specialty?

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

When was this NPI record last updated?

The NPPES record for Tianna Fredericks was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.