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Active NPI 1538444989 Individual Practitioner Female Practitioner

Shanda Nicole Frederick , LPN

Licensed Practical Nurse • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Shanda Frederick, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Newark, NJ. Practice services are available at 633 S 19TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

633 S 19th St
1st Fl

Newark, NJ 071031116

Telephone 8625767768

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Newark, NJ (1119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NJ 26NP06593200

An individual 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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active October 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2011

Registered at 633 S 19TH ST, 1ST FL, NEWARK, NJ 071031116 (Tel: 8625767768)

📍
Updated Business Mailing Address October 17, 2011

Registered at 633 S 19TH ST, 1ST FL, NEWARK, NJ 071031116 (Tel: 8625767768)

👤
Provider Name / Credentials Updated October 17, 2011

Recorded as SHANDA FREDERICK, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2011

Licensed Practical Nurse (License #26NP06593200 in NJ)

🟢
Initial NPI Registration & Enumeration October 17, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538444989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2011
Last Update: October 17, 2011
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

633 S 19th St, 1st Fl

Newark, NJ 071031116

Phone: 8625767768

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.