Deanna Latrise Freeman, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704218153 Issued in MI

Practice address

4160 John R St Ste 510
Detroit, MI 48201-2021

Phone

(313) 993-7777

NPI assigned

Dec 19, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1417010315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24321 TAMARACK CIR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756182",
            "telephone_number": "248-595-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 510",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012021",
            "telephone_number": "313-993-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "DEANNA",
        "middle_name": "LATRISE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704218153",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704218153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Anne Freeman-Gibb, N.P.
• Abby Lutrice Freeman
• Ashley Jo Freeman, LLMSW, EMT-B
• Cathryn Freeman, CPNP-PC
• Darrell Freeman
• Denise Marie Freeman, CRNA
• Desrea J Freeman
• Frances Bigham Freeman, R.N., B.S.N.
• Jeffery Ransom Freeman, COTA
• Karen Denise Freeman

• Acute Care Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.