Tracie Michelle Freddie

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1108189 Issued in TX

Practice address

3410 Snowblossom CT
Pearland, TX 77581-3300

Phone

(832) 722-5655

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By 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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• 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

Practice roles

Locations

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

• Collaborative Geriatrics Inc

  • Gerontology Nurse Practitioner
  • Katy, TX
  • NPI 1811088628

  Adult Health

  Medicare reassignment NPD
• Dynamic Comprehensive Solutions PLLC

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1750170809

  Adult Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1053167163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST STE P205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "832-722-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 SNOWBLOSSOM CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813300",
            "telephone_number": "832-722-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDDIE",
        "first_name": "TRACIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1108189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felina Carmen Franklin, PH.D., LCSW
• Sanchez Franklin
• Tiffany-Roshel Moray Franklin, APRN, FNP-C
• Anne Frazer
• Stacia Frazier-Williams
• Freedomchoice Health
• Andrew Freeman
• Davanelle Freeman
• Tiffany Briana Freeman, RBT
• Fresenius Medical Care Ella, LLC (Fresenius Kidney Care Pearland Town Center)

• Adult Health Nurse Practitioner in Pearland, TX
• Providers in Pearland, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.