Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MANDY FREDRICKSON
NPI 1922928985
Licensed Practical Nurse in Champlin, MN

Active since July 20, 2026
1207 HILLSBORO AVE, CHAMPLIN, MN 55316(612) 747-3014 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mandy Fredrickson NPPES

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

MANDY FREDRICKSON (NPI 1922928985) is an individual licensed practical nurse in Champlin, Minnesota, licensed in Minnesota (651080) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1922928985
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMANDY FREDRICKSON
Location Address1207 HILLSBORO AVEChamplin, MN 55316-1913
Mailing Address1207 Hillsboro AveChamplin, MN 55316-1913 · (612) 747-3014
Sole ProprietorNo
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1922928985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MN · 651080
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1207 HILLSBORO AVE, Champlin, MN 55316

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 Mandy Fredrickson's NPI number?

The NPI number for Mandy Fredrickson is 1922928985. It was assigned to this individual provider in the NPPES registry on July 20, 2026.

Where is Mandy Fredrickson located?

Mandy Fredrickson practices at 1207 Hillsboro Ave, Champlin, MN 55316. The listed phone number is (612) 747-3014.

What is Mandy Fredrickson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mandy Fredrickson was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.