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Active NPI 1194547208 Individual Practitioner Female Practitioner

Raynette Fredericks , LPN

Licensed Practical Nurse • Bremerton, WA

Professional Overview & Biography Verified Profile Summary

Raynette Fredericks, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Bremerton, WA. Practice services are available at 1520 NE RIDDELL RD # 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1520 Ne Riddell Rd # 110

Bremerton, WA 983103005

Telephone 7865188971

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Bremerton, WA

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

Practicing in Bremerton, WA (1730 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: 2024-10-29
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5173031

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

2 Associated Practitioners
Beverly Johnson , SUDP, RN

Counselor - Addiction (Substance Use Disorder)

NPI 1073455721

SUDP, Registered Nurse

Stacey Mort

Counselor - Addiction (Substance Use Disorder)

NPI 1902392160

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2024

Registered at 1520 NE RIDDELL RD # 110, BREMERTON, WA 983103005 (Tel: 7865188971)

📍
Updated Business Mailing Address October 29, 2024

Registered at 1970 NE FUSON RD APT 204, BREMERTON, WA 983113739 (Tel: 7865188971)

👤
Provider Name / Credentials Updated October 29, 2024

Recorded as RAYNETTE FREDERICKS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2024

Licensed Practical Nurse (License #PN5173031 in FL)

🟢
Initial NPI Registration & Enumeration October 29, 2024

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: 1194547208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2024
Last Update: October 29, 2024
Sole Proprietor: No

Mailing Address

1970 Ne Fuson Rd Apt 204

Bremerton, WA 983113739

Phone: 7865188971

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.