Free From Marketplace, Inc.

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

FREE FROM MARKETPLACE, INC.

Practice address

420 Nichols Rd
Kansas City, MO 64112-2005

Phone

(913) 202-4692

NPI assigned

Jun 6, 2023

Organization subpart

No

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

Authorized official

Name

Emily Brown

Title

Ceo

Phone

(816) 280-4134

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1174217731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NICHOLS RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NICHOLS RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122005",
            "telephone_number": "913-202-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE FROM MARKETPLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-280-4134"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonelle Frederico, LPTA
• Deborah Frederiksen, LPC
• Carolyn Marie Fredrick, LPC
• Charles James Fredricks, D.C.
• Dann J Fredrickson, MD
• Hannah Free, LMSW
• Freedom Care Mo LLC (FreedomCare)
• Freedom Medical Travelers, LLC
• Freedom Springs Therapy Services LLC
• Arthur Glenn Freeland, M.D.

• Medical Foods Supplier in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Medical Foods Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.