Conde C Freeman, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

CA13239 Issued in CA

Practice address

131 Camino Alto
Suite G
Mill Valley, CA 94941-2254

Phone

(415) 686-7615

NPI assigned

Nov 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Condict C Freeman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1114229028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CAMINO ALTO",
            "address_2": "SUITE G",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412254",
            "telephone_number": "415-686-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CAMINO ALTO",
            "address_2": "SUITE G",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412254",
            "telephone_number": "415-686-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "CONDE",
        "middle_name": "C",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA13239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONDICT",
            "last_name": "FREEMAN",
            "middle_name": "C",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Acupuncturist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.