Kim Fredricks, PMHNP-BC - Psychiatry & Neurology in Ormond Beach, FL

Kim Fredricks, PMHNP-BC is a Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry physician based in Ormond Beach, Florida. Kim Fredricks is licensed to practice in Florida (license number RN9508898) and her current practice location is 1200 W Granada Blvd Ste 4, Ormond Beach, Florida. She can be reached at her office (for appointments etc.) via phone at (386) 983-4147.

NPI number for Kim Fredricks is 1104749068 and her current mailing address is 1200 W Granada Blvd Ste 4, Ormond Beach, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104749068.

Contact Information

Kim Fredricks, PMHNP-BC
1200 W Granada Blvd Ste 4,
Ormond Beach, FL 32174-8157
(386) 983-4147
Not Available

Map and Direction




Physician's Profile

Full NameKim Fredricks
GenderFemale
SpecialityPsychiatry & Neurology - Behavioral Neurology & Neuropsychiatry
Location1200 W Granada Blvd Ste 4, Ormond Beach, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104749068
  • Provider Enumeration Date: 07/30/2026
  • Last Update Date: 08/17/2026

Medical Identifiers

Medical identifiers for Kim Fredricks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104749068NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0805XPsychiatry & Neurology - Geriatric Psychiatry RN9508898 (Florida)Secondary
2084B0040XPsychiatry & Neurology - Behavioral Neurology & Neuropsychiatry RN9508898 (Florida)Primary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry RN9508898 (Florida)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry RN9508898 (Florida)Secondary
2084P0005XPsychiatry & Neurology - Neurodevelopmental Disabilities RN9508898 (Florida)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Fredricks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim Fredricks, PMHNP-BC
1200 W Granada Blvd Ste 4,
Ormond Beach, FL 32174-8157

Ph: Not Available
Kim Fredricks, PMHNP-BC
1200 W Granada Blvd Ste 4,
Ormond Beach, FL 32174-8157

Ph: (386) 983-4147

Reviews and Comments


Psychiatry & Neurology Doctors in Ormond Beach, FL

Mr. Jorge Luis Anibal Mirabelli, M.D.
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Practice Location: 570 Memorial Cir, Suite 200, Ormond Beach, FL 32174
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Dr. Paul Schmidt, MD
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Phone: 386-788-2300    Fax: 386-944-6622
Dr. Victoria P Dimayuga, MD
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Dr. Robert Daniel Colucci, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 285 Clyde Morris Blvd Ste 300, Ormond Beach, FL 32174
Phone: 239-690-6906    Fax: 386-262-1628
Dr. Alyn L Benezette, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 725 W Granada Blvd, Suite 22, Ormond Beach, FL 32174
Phone: 386-788-2300    Fax: 386-944-6622
Dr. Tina Nigam, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 8 Mirror Lake Dr, Ormond Beach, FL 32174
Phone: 386-673-2500    
Louis J Raimondo, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 595 W Granada Blvd, Suite 2e, Ormond Beach, FL 32174
Phone: 386-672-4222    Fax: 386-672-8855

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