Addie Freeman

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

15627 Issued in SC

Practice address

129 Wylie St
Chester, SC 29706-1786

Phone

(803) 385-6152

Fax

(803) 581-3815

NPI assigned

Apr 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of South Carolina

  • Public Health or Welfare Agency
  • Chester, SC
  • NPI 1821171539
  NPD (past)
• State of South Carolina Comptroller General

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1043630007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WYLIE ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297061786",
            "telephone_number": "803-385-6152",
            "fax_number": "803-581-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WYLIE ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297061786",
            "telephone_number": "803-385-6152",
            "fax_number": "803-581-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ADDIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "15627",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "15627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Renae Farrow, PHARMD
• First Choice Medical, Inc
• First Fruit Residential Group Home III, LLC
• Kaitlin Ford
• Franklin B. Johnson, P.a.
• Julius G. Freeman Jr., M.D.
• Jejuan Gamble, PHARM.D.
• Jessy George
• Marion Logan Gibbons, MD
• Kristin Marie Gibson, CACII, MAC, LPC, LAC

• All providers in Chester, SC
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.