Individual provider Active NPI

Jonathan Freeman

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1245058718
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024191382 Issued in VA
Practice address
4907 Fitzhugh Ave Ste 202
Richmond, VA 23230-3533
Phone
(804) 464-8340
NPI assigned
Oct 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024191382 VA Primary

Addresses

Primary practice location

4907 Fitzhugh Ave Ste 202
Richmond, VA 23230-3533

Mailing address

2024 Cedarbird Way
Richmond, VA 23227-2413
Phone (540) 904-9061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250412000298 VA Practitioner - Nurse Practitioner 2860915451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unique Holistic Care LLCGroup PAC ID 5991084980, 8 clinicians

Practice addresses (Care Compare)

4901 Fitzhugh Ave
Suite 200
Richmond, VA 23230-3531
Phone (804) 464-8340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024191382VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Holistic Care LLC Psychiatric/Mental Health CurrentSince Feb 22, 2025 Accepting new patients

Locations

4901 Fitzhugh Ave
Ste 200
Richmond, VA 23230
Phone (804) 213-0140

4907 Fitzhugh Ave
Ste 202
Richmond, VA 23230
Phone (804) 396-4106

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1245058718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 CEDARBIRD WAY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272413",
            "telephone_number": "540-904-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 FITZHUGH AVE STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303533",
            "telephone_number": "804-464-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.