ALYSSA L FREDERICKS
NPI 1497222681
Specialist/Technologist - Athletic Trainer in Polacca, AZ

NPI Status: Active since October 26, 2018

Contact Information

HWY 264 MILEPOST 388
UNIT 40
POLACCA, AZ
ZIP 86042
Phone: (928) 737-0414

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About ALYSSA FREDERICKS

This page provides the complete NPI Profile along with additional information for Alyssa Fredericks, a provider established in Polacca, Arizona with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1497222681 assigned on October 2018. The practitioner's primary taxonomy code is 2255A2300X with license number ATR-001676 (AZ). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1497222681
Provider Name
ALYSSA L FREDERICKS
Gender
Female
Entity Type
Individual
Location Address
HWY 264 MILEPOST 388 UNIT 40 POLACCA, AZ 86042
Location Phone
(928) 737-0414
Mailing Address
PO BOX 32 KYKOTSMOVI, AZ 86039
Mailing Phone
(928) 514-3402
Is Sole Proprietor?
Yes
Enumeration Date
10-26-2018
Last Update Date
10-26-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
ATR-001676
License State
AZ
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497222681
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187424616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 2 + 4 + 6 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1497222681 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982915351MRS. LUCINDA NEZ RN
Individual
Registered NurseHWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6000
1265744239 YOLANDA BYDONIE CNA
Individual
Nurse's AideHWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6386
1730491366 MARGIE ANN SAUCEDO RN
Individual
Registered NurseHWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6000
1154634731 PETRA BENNEFIELD RN
Individual
Registered NurseHWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6000
1588957369 GINA MARIE KOSEK RN
Individual
Registered NurseHWY 264 MILEPOST 388
POLACCA, AZ 86042
(402) 613-5720
1396038170 MICHAEL HARRISON RN
Individual
Registered NurseHWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6000
1043504210 ROCHELLE SNYDER RN
Individual
Registered NurseHWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6000
1255759551 DONNA MARIE SELINA CMA
Individual
Technician (Personal Care Attendant)HWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6231
1770983165 THOMAS ROMARD RN
Individual
Registered NurseHWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6372
1720489925 JESSICA WRIGHT
Individual
Registered NurseHWY 264 MILEPOST 388
POLACCA, AZ 86042
(928) 737-6000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497222681, enumerated in the NPI registry as an "individual" on October 26, 2018

The provider is located at Hwy 264 Milepost 388 Unit 40 Polacca, Az 86042 and the phone number is (928) 737-0414

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

This NPI record was last updated on October 26, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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