Jocelyn Raquel Raedeker-Freitas, BSN, RN, PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN95215783 Issued in CA

Practice address

3165 B St
San Diego, CA 92102-2359

Phone

(619) 822-4507

NPI assigned

Dec 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jocelyn Raquel Freitas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1215576236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 B ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 B ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022359",
            "telephone_number": "619-822-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEDEKER-FREITAS",
        "first_name": "JOCELYN",
        "middle_name": "RAQUEL",
        "credential": "BSN, RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "7516123688",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "RN95215783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "FREITAS",
            "middle_name": "RAQUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rady'S Children'S Hospital Outpatient Psychiatry
• Rady'S Children'S Hospital Outpatient Psychiatry San Diego
• Radys Children Hospital
• Alexis Nicole Rae
• Starla Rae
• Sophia Raefsky, MD
• Ann Rael
• Karim Timothy Rafaat, M.D.
• Frank Elias Rafail, D.M.D.
• Taylor Marie Rafajko

• Community Health Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.