Kimberly Dyana Freisenbruch, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024187437 Issued in VA

Practice address

129 W Virginia Beach Blvd Ste 140
Norfolk, VA 23510-2030

Phone

(757) 452-3934

Fax

(833) 471-5922

NPI assigned

Jun 27, 2023

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.freisenbruch.1@33567.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27257/brand/1/csg/1/fhir/r4
• Direct secure messaging: kimberly.freisenbruch.1@29402.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/29322/brand/1/csg/1/fhir/r4
• Direct secure messaging: kim.freisenbruch.1@29322.direct.athenahealth.com

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.

• Alpha Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
  • NPI 1427525294
  NPD
• Southside Diabetes

  • Nurse Practitioner
  • Franklin, VA
  • NPI 1417616202
  NPD

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1245916733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD STE 140",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-452-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD STE 140",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-452-3934",
            "fax_number": "833-471-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREISENBRUCH",
        "first_name": "KIMBERLY",
        "middle_name": "DYANA",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Nicole Freeman, LPC
• Jacob T Freeman
• Douglas Hall Freer, MD
• Adam Freis, CRNA
• Jessica Freis, CRNA
• Fresenius Medical Care Kempsville Home, LLC
• Fresh Start Counseling Service LLC
• Angelina M Frias, M.D.
• Beverly Frias
• Megan Frick, DPT

• Psychiatric/Mental Health Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.