Individual provider Active NPI

Freda Shanta Lynom, LMSW

  • Doula
  • Memphis, TN
National Provider Identifier
1245513761
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
6674 May Springs Dr
Memphis, TN 38141-2426
Phone
(901) 870-4224
NPI assigned
Sep 21, 2011
Last updated
Dec 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 12103 TN
Doula 374J00000X NU Primary

Addresses

Primary practice location

6674 May Springs Dr
Memphis, TN 38141-2426

Mailing address

6674 May Springs Dr
Memphis, TN 38141-2426
Phone (901) 870-4224

Other names 1

  • Freda Shanta Franklin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12103TNMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1245513761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 MAY SPRINGS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381412426",
            "telephone_number": "901-870-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6674 MAY SPRINGS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381412426",
            "telephone_number": "901-870-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNOM",
        "first_name": "FREDA",
        "middle_name": "SHANTA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "12103",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDA",
            "last_name": "FRANKLIN",
            "middle_name": "SHANTA",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.