What is Tony Fredericks's NPI number?

Tony Fredericks's National Provider Identifier (NPI) is 1174236624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tony Fredericks's specialty?

Tony Fredericks is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Tony Fredericks located?

Tony Fredericks's practice location on file with NPPES is 100 Par Ln Ste 102, Elizabethtown, KY 42701-9059.

What is Tony Fredericks's phone number?

The practice phone number listed in the NPPES registry for Tony Fredericks is (270) 312-2500.

Is Tony Fredericks's NPI active?

Yes — Tony Fredericks's NPI (1174236624) is active in the NPPES registry as of the last update on 2022-12-29.

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Tony Fredericks

NPI 1174236624 · Peer Specialist · Elizabethtown, KY

Tony Fredericks is a Peer Specialist provider in Elizabethtown, KY (NPI 1174236624).

Provider details

NPI number: 1174236624
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

100 Par Ln Ste 102

Elizabethtown, KY 42701-9059

Phone: (270) 312-2500

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address