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

James Frederickson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518405554

James Frederickson is a Student in an Organized Health Care Education/Training Program in Mount Pleasant, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

5635 Taylor Ave
Mount Pleasant, WI 53403-9732
Phone: (262) 930-7616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence F6364559441101 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence F6364559441101 (WI)

Record details

NPI number1518405554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2017
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020
Mailing address5635 Taylor Ave, Mount Pleasant, WI 53403-9732

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