Edward L Freely Jr., RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

543151-1 Issued in NY

Practice address

37 Tillotson PL
Tonawanda
Buffalo, NY 14223-2828

Phone

(585) 413-6288

NPI assigned

Mar 24, 2011

Last updated

Mar 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1043519432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 TILLOTSON PL",
            "address_2": "TONAWANDA",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232828",
            "telephone_number": "585-413-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 TILLOTSON PL",
            "address_2": "TONAWANDA",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232828",
            "telephone_number": "585-413-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELY",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "543151-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Jonathan Frederick, MD
• Raeanne Fredericks
• Virginia Fredo
• Lorne Freedman
• Sonya M Freeland, RN
• Briana Nicole Freeman, NP
• Diane Freeman, MSW
• Erica Lavaughn Freeman
• Veronica Freeman, CASAC
• Julia Freemire

• Adult Psychiatric/Mental Health Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.