Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Douglas E Frederick, ARNP

Nurse Practitioner in Wichita, KS · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174528053

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Registry record

Entity type Individual (Type 1)

Name Mr. Douglas E Frederick

Credential ARNP

Sex Male

Practice address 1947 N Founders Cir, Wichita, KS, 67206

Phone (316) 613-4640

Fax (316) 689-9769

Enumeration date Jun 16, 2005

Last updated in NPPES May 19, 2014

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 45623 (KS) Primary

Other identifiers

Identifier	Type	State	Issuer
20041080A	Other	-	OK MEDICAID
200278930E	Medicaid	KS	-
003719299	Other	-	MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Douglas Frederick?

Douglas Frederick is registered in NPPES with the primary taxonomy of Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-19.