Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Diane T Frederick, FNP-C

Individual provider Family Nurse Practitioner · NPI 1972971844

Mrs. Diane T Frederick, FNP-C is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Ucmg LLC, a 258-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1010 W Lehigh Ave
Philadelphia, PA 19133-1640
Phone: (267) 273-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 256 New Castle Rd, Butler, PA 16001-2576 — (724) 283-3627

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP015164 (PA)

Record details

NPI number1972971844
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2015
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ucmg Llc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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