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

Kim Ann Fredericksen

Individual provider Emergency Medicine Physician · NPI 1528103843

Kim Ann Fredericksen is an Emergency Medicine in Thornton, Colorado. Graduated from University of Maryland School of Medicine in 2005, 21 years ago. Practices with University of Florida Jacksonville Physicians, Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Colorado and Maryland.

Years since qualifying
21
Trained at
University of Maryland School of Medicine
Licensed in
CO, MD
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

9191 Grant St
Thornton, CO 80229-8812
Phone: (303) 450-4482
Fax: (303) 306-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DR.0046734 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence T4918 (MD)

Record details

NPI number1528103843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJune 25, 2015
Mailing addressPo Box 173862, Denver, CO 80217-3862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice University Of Florida Jacksonville Physicians, Inc. — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Thornton