Individual provider Active NPI

Rashaye Kendria Freeman, R.N.P.

  • Family Nurse Practitioner
  • San Fernando, CA
National Provider Identifier
1356387567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13997 Issued in CA
Practice address
1600 San Fernando Rd.
San Fernando, CA 91340
Phone
(818) 898-1388
Fax
(818) 365-4031
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13997 CA Primary

Addresses

Primary practice location

1600 San Fernando Rd.
San Fernando, CA 91340

Mailing address

1172 N. Maclay Ave.
San Fernando, CA 91340
Phone (818) 898-1388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150307000164 CA Order and Referring Only - Nurse Practitioner 3173526720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13997CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation Past Accepting new patients
Northeast Valley Health Corporation Past Accepting new patients

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356387567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 N. MACLAY AVE.",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "91340",
            "telephone_number": "818-898-1388",
            "fax_number": "818-365-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAN FERNANDO RD.",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "91340",
            "telephone_number": "818-898-1388",
            "fax_number": "818-365-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "RASHAYE",
        "middle_name": "KENDRIA",
        "name_prefix": "Ms.",
        "credential": "R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.