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Active NPI 1477366656 Individual Practitioner Female Practitioner

Amy Fredrickson , LPN

Licensed Practical Nurse • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Amy Fredrickson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Fargo, ND. Practice services are available at 2101 ELM ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2101 Elm St N

Fargo, ND 581022417

Telephone 7012393700
Associated Practice Facility / Clinic
🏢 Fargo Vamc Facility NPI 1700844636

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
97 Specialists

Practicing in Fargo, ND (314 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

CMS Verified: 2025-01-30
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License ND L14575

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Erica Muchow , RN

Registered Nurse

NPI 1003362427

Registered Nurse

Kevin Mccarvel , RN

Registered Nurse - Ambulatory Care

NPI 1003620477

Registered Nurse

Tyna Halvorson , LPN

Licensed Practical Nurse

NPI 1003789843

Licensed Practical Nurse

Kimberly Skog , CNMT

Radiologic Technologist - Nuclear Medicine Technology

NPI 1013721794
Samantha Shapiro

Orthotic Fitter

NPI 1013868603
Dr. Stephen Lee , MD

Emergency Medicine

NPI 1013940907

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 30, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2025

Registered at 2101 ELM ST N, FARGO, ND 581022417 (Tel: 7012393700)

📍
Updated Business Mailing Address January 30, 2025

Registered at 2101 ELM ST N, FARGO, ND 581022417 (Tel: 7012393700)

👤
Provider Name / Credentials Updated January 30, 2025

Recorded as AMY FREDRICKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2025

Licensed Practical Nurse (License #L14575 in ND)

🟢
Initial NPI Registration & Enumeration January 30, 2025

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: 1477366656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2025
Last Update: January 30, 2025
Sole Proprietor: Yes

Mailing Address

2101 Elm St N

Fargo, ND 581022417

Phone: 7012393700

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.