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

Nicole Fredericks

Individual provider Case Manager/Care Coordinator · NPI 1669008983

Nicole Fredericks is a Case Manager/Care Coordinator in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1202 Morena Blvd Ste 300
San Diego, CA 92110-3844
Phone: (619) 275-0822
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1669008983
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2020
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020

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