Preswinda Cornejo Freeman, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

71000864A Issued in IN

Practice address

3500 W Purdue Ave
Muncie, IN 47304-6357

Phone

(765) 284-6822

Fax

(765) 284-6855

NPI assigned

Oct 12, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Bio-Medical Applications of Indiana, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Anderson, IN
  • NPI 1124772868
  NPD (past)
• Medical Consultants PC

  • Multi-Specialty Clinic/Center
  • Muncie, IN
  • NPI 1265443162
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235228917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W PURDUE AVE",
            "address_2": "VA PRIMARY CARE CLINIC",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046357",
            "telephone_number": "765-284-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046357",
            "telephone_number": "765-284-6822",
            "fax_number": "765-284-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "PRESWINDA",
        "middle_name": "CORNEJO",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000864A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willard J. Frederick, LCSW
• Free to Flourish Counseling and Consulting
• Free Yourself Counseling Services
• Freedom Work Counseling and Consulting LLC
• Destiny Freeman
• Shawnda Freer
• Lora Frees, COTA
• Savannah Freiberger, RBT
• Mohammad Freihat, MD
• Samantha Lynn Freije, MD

• Adult Health Nurse Practitioner in Muncie, IN
• Providers in Muncie, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.