Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Leigh Frederick, MA

Individual provider Contractor · NPI 1881175578

Heather Leigh Frederick, MA is a Contractor in Lake Park, Georgia. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5310 Moss Oak Trl
Lake Park, GA 31636-3300
Phone: (217) 299-1074
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1881175578
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedAugust 22, 2018
Last updated in NPPESAugust 22, 2018

Other providers in Lake Park