Organization Active NPI

Freya Health LLC

Doing business as Estero Island Medical Care

  • Internal Medicine Physician
  • Fort Myers Beach, FL
National Provider Identifier
1306476049
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FREYA HEALTH LLC
Doing business as
Estero Island Medical Care
Practice address
7205 Estero Blvd Ste 733
Fort Myers Beach, FL 33931-4779
Phone
(732) 804-2014
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Authorized official

Name
Vandana Patel
Title
PA-C
Phone
(732) 804-2014

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

7205 Estero Blvd Ste 733
Fort Myers Beach, FL 33931-4779

Mailing address

9365 Via Murano CT
Fort Myers, FL 33905-5499
Phone (732) 804-2014

Other names 1

  • ESTERO ISLAND MEDICAL CARE Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21351/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1306476049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 VIA MURANO CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055499",
            "telephone_number": "732-804-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 ESTERO BLVD STE 733",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314779",
            "telephone_number": "732-804-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREYA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "732-804-2014"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESTERO ISLAND MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ESTERO ISLAND MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.