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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICKI S FREDERICK RN/NP
NPI 1972580603
Nurse Practitioner - Pediatrics in Memphis, TN

Active since December 23, 2005
332 N LAUDERDALE ST, MS 106, MEMPHIS, TN 38105(901) 495-3006(901) 495-3842 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vicki S Frederick Rn/np NPPES

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

VICKI S FREDERICK RN/NP (NPI 1972580603) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (38476) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1972580603
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameVICKI S FREDERICKCredential: RN/NP
Location Address332 N LAUDERDALE ST, MS 106Memphis, TN 38105-2729
Mailing Address332 N Lauderdale St, Ms 106Memphis, TN 38105-2729 · (901) 495-3006 · Fax (901) 495-3842
Phone(901) 495-3006
Fax(901) 495-3842
Sole ProprietorNo
Enumeration DateDecember 23, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1972580603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 38476
332 N LAUDERDALE ST, Memphis, TN 38105
Open in Google Maps ↗

Other Identifiers 1

Medicaid3349546TN

Other Providers at the Same Location NPPES 9

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

DR. MARK A MILES PH.D.
Psychologist (Clinical Child & Adolescent)
332 N LAUDERDALE ST
MEMPHIS, TN 38105
Shelby County (901) 495-3006
ANGELA SNYDER RN/NP
Nurse Practitioner (Pediatrics)
332 N LAUDERDALE ST, MS 106
MEMPHIS, TN 38105
Shelby County (901) 495-3006
MISS LINDSAY MARGARET CHAPMAN P.N.P.
Nurse Practitioner (Pediatrics)
332 N LAUDERDALE ST
MEMPHIS, TN 38105
Shelby County (901) 495-3300
MARION L DONOHOE RN/NP
Nurse Practitioner (Pediatrics)
332 N LAUDERDALE ST, MS 600
MEMPHIS, TN 38105
Shelby County (901) 495-3006
WILLIAM H. SCHULTZ PA
Physician Assistant (Medical)
332 N LAUDERDALE ST
MEMPHIS, TN 38105
Shelby County (901) 495-3006
CAROLYN S BRANDON RN/NP
Nurse Practitioner (Family)
332 N LAUDERDALE ST, MS 737
MEMPHIS, TN 38105
Shelby County (901) 495-3006
MRS. NATALIE A WOODARD RN NP
Nurse Practitioner (Pediatrics)
332 N LAUDERDALE ST, MS 106
MEMPHIS, TN 38105
Shelby County (901) 495-3006
NICOLE A MORTIER PA
Physician Assistant (Medical)
332 N LAUDERDALE ST
MEMPHIS, TN 38105
Shelby County (901) 495-3006

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 Vicki Frederick's NPI number?

The NPI number for Vicki Frederick is 1972580603. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Vicki Frederick located?

Vicki Frederick practices at 332 N Lauderdale St Ms 106, Memphis, TN 38105. The listed phone number is (901) 495-3006.

What is Vicki Frederick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Vicki Frederick was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.