Freda Edwina Clark Cowan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

600019 Issued in NC

Practice address

902 Kirkwood Ave NW
Lenoir, NC 28645-5121

Phone

(828) 754-0101

Fax

(828) 757-0402

NPI assigned

Apr 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Freda Edwina Clark Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caldwell Hospice and Palliative Care IncGroup PAC ID 4183669047, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amorem Hospice, Lenoir, NC, CCN 341504
• Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fcowan332666@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caldwell Hospice and Palliative Care, Inc.

  dba Amorem

  • Community Based Hospice Care Agency
  • Lenoir, NC
  • NPI 1184711301
  Medicare reassignment Care Compare group NPD
• Caldwell Hospice and Palliative Care, Inc.

  dba Amorem

  • Community Based Hospice Care Agency
  • Lenoir, NC
  • NPI 1386931566
  NPD (past)
• Hospice & Palliative Carecenter

  dba Trellis Supportive Care

  • Community Based Hospice Care Agency
  • Winston Salem, NC
  • NPI 1659300770
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caldwell Hospice and Palliative Care, Inc.

  dba Amorem

  • Community Based Hospice Care Agency
  • Lenoir, NC
  • NPI 1184711301
  Care Compare affiliation
• Caldwell Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Lenoir, NC
  • NPI 1114974029
  Care Compare affiliation

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366407405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "FREDA",
        "middle_name": "EDWINA CLARK",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "600019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "600019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "600019",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "89770",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000897",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fcowan@amoremsupport.org",
            "affiliation": "N",
            "address_1": "902 Kirkwood Ave NW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FREDA",
            "last_name": "CLARK",
            "middle_name": "EDWINA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonisha Michelle Corpening
• County of Caldwell (Caldwell County Health Dept)
• County of Caldwell (Caldwell Co. Home Health Agc)
• County of Caldwell (Caldwell Co. Health Dept.- CBRS)
• County of Caldwell (Caldwell County EMS)
• John Wesley Cox III, DDS
• Deborah Jones Craig, PT
• Laura Deanne Craig, FNP
• Jane Smith Crawford, LPTA
• Malorie Susan Crawford, R.N.C., B.S.N.

• Family Nurse Practitioner in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.