Jacquelyn B Freeman, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

APN2404 Issued in SC

Practice address

1351 Crestview Rd
Easley, SC 29642-2408

Phone

(864) 855-5006

Fax

(864) 850-1992

NPI assigned

Jul 20, 2006

Last updated

Jan 28, 2013By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Anmed Health

  dba AnMed Health Westside Family Medicine

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1639102270
  Medicare reassignment NPD
• Anmed Health

  dba AnMed Primary Care - Piedmont

  • Family Medicine Physician
  • Piedmont, SC
  • NPI 1255137832
  NPD
• Anmed Health

  dba AnMed OBGYN - Anderson

  • Obstetrics & Gynecology Physician
  • Anderson, SC
  • NPI 1972544799
  NPD
• Anmed Health

  dba AnMed

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1710918321
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1467472407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 CRESTVIEW RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422408",
            "telephone_number": "864-855-5006",
            "fax_number": "864-850-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 CRESTVIEW RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422408",
            "telephone_number": "864-855-5006",
            "fax_number": "864-850-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JACQUELYN",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SC",
            "license": "APN2404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0194",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Shannon Frazier
• Jacqueline Frechette
• Freds Stores of Tennessee Inc (Freds Pharmacy 3614)
• Freds Stores of Tennessee Inc (Freds Pharmacy 3608)
• Freedom 1St Medical Transport
• Jeannette Freeman, CCC-SLP
• Nora Freeman, MA, LPC
• Porshia Freeman
• Steven Earl Freeman, MD
• Phillip Dwayne Fugate, P.T.A.

• Obstetrics & Gynecology Nurse Practitioner in Easley, SC
• Providers in Easley, SC by specialty
• Obstetrics & Gynecology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.