Individual provider Active NPI

Casey Rhea Freeberg, NP

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1043622400
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218331 Issued in GA
Practice address
5510 Weddington Dr
Cumming, GA 30040-0622
Phone
(770) 856-2187
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN218331 GA Primary

Addresses

Primary practice location

5510 Weddington Dr
Cumming, GA 30040-0622

Mailing address

5510 Weddington Dr
Cumming, GA 30040-0622
Phone (770) 856-2187

Other names 1

  • Casey Rhea Crittenden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1043622400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 WEDDINGTON DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400622",
            "telephone_number": "770-856-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 WEDDINGTON DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400622",
            "telephone_number": "770-856-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEBERG",
        "first_name": "CASEY",
        "middle_name": "RHEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "CRITTENDEN",
            "middle_name": "RHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.