Shayda Frederickson, FNP is a
Nurse Practitioner - Family based in Chappell Hill, Texas. Shayda Frederickson is licensed to practice in Oregon (license number 10054393) and her current practice location is
2570 Lynn Rd, Chappell Hill, Texas. She can be reached at her office (for appointments etc.) via phone at
(713) 589-5283.
NPI number for Shayda Frederickson is 1114882388 and her current mailing address is 18611 Melissa Ave, Sandy, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114882388.
Provider's Profile
| Full Name | Shayda Frederickson |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2570 Lynn Rd, Chappell Hill, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114882388
- Provider Enumeration Date: 12/19/2025
- Last Update Date: 12/19/2025
Medical Identifiers
Medical identifiers for Shayda Frederickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114882388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 10054393 (Oregon) | Primary |
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. Shayda Frederickson 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 Address | Practice Location Address |
Shayda Frederickson, FNP 18611 Melissa Ave, Sandy, OR 97055-6886 Ph: (713) 589-5283 | Shayda Frederickson, FNP 2570 Lynn Rd, Chappell Hill, TX 77426-2800 Ph: (713) 589-5283 |
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