Lisa Frees, M.D.
Individual provider Active NPI Pediatrics Physician · Vestavia, AL
NPI 1013440908 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1013440908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 37719 (AL)
- Practice address
- 2409 Acton Rd Ste 171
Vestavia, AL 35243-2938 - Phone
- (205) 978-8245
- Fax
- (205) 978-8249
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170428000834 | AL | Order and Referring Only - Pediatric Medicine |
4385921352 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37719 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acton Road Pediatrics, LLC | Pediatrics | Past |
Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 37719 | AL | Yes |
Addresses
Primary practice location
2409 Acton Rd Ste 171
Vestavia, AL 35243-2938
Mailing address
2409 Acton Rd Ste 171
Vestavia, AL 35243-2938
Phone (205) 978-8245
Other providers in Vestavia, AL
- Christy L Franklin
- Jazlyn Ja'Ona Franks
- Isaiah Frazier IV
- Sarah Freeman
- Freemans Compounding Pharmacy Inc
- Merrill Friday
- Cassandra Fritts
- Janelle Jensen Fritz
- Natalya Frolova
- Cynthia Elaine Fuller
All providers in Vestavia, AL · Pediatrics Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.