Addie L Freytag, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN23757 Issued in TN

Practice address

1236 Knoxville Hwy
Wartburg, TN 37887

Phone

(423) 346-5566

Fax

(423) 346-5631

NPI assigned

Feb 21, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013052463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378870368",
            "telephone_number": "423-346-5566",
            "fax_number": "423-346-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 KNOXVILLE HWY",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "37887",
            "telephone_number": "423-346-5566",
            "fax_number": "423-346-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYTAG",
        "first_name": "ADDIE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN23757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICEASE",
            "identifier": "RN23757",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341447",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4031545",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie L El-Sayad, NP
• Family Medicine West PLLC (Family Medicine West of Wartburg)
• James Brad Farmer, DC
• Kendra L Flowers, M.D.
• Mary Foster, RN
• Joseph Sean Galloway, PT
• Amber Dawn Gamblin, FNP-C
• Griffith Family Pharmacy of Morgan County
• Caleb Griffith, PHARM D.
• James Patrick Griffith, PHARMD

• Family Nurse Practitioner in Wartburg, TN
• Providers in Wartburg, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.