Individual provider Active NPI

Christine S. Freemer, MD

  • Pediatrics Physician
  • Worcester, MA
National Provider Identifier
1467551879
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
202628 Issued in MA
Practice address
291 Lincoln St Ste 101
Worcester, MA 01605-3643
Phone
(508) 752-7888
Fax
(508) 752-6536
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 202628 MA Primary

Addresses

Primary practice location

291 Lincoln St Ste 101
Worcester, MA 01605-3643

Mailing address

372 Chandler St
Suite 104
Worcester, MA 01602-3300
Phone (508) 767-3997

Other identifiers 1

IdentifierTypeStateIssuer
110003191AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cfreemer273943@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202628MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Health Care Cooperative Pediatrics Current Accepting new patients

Locations

372 Chandler St
Ste 104
Worcester, MA 01602
Phone (508) 273-8885

Interoperability endpoints

  • Direct secure messaging: cfreemer273943@umassmemorial.direct-ci.com

Organizations & group practices 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1467551879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 CHANDLER ST",
            "address_2": "SUITE 104",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023300",
            "telephone_number": "508-767-3997",
            "fax_number": "508-767-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 LINCOLN ST STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053643",
            "telephone_number": "508-752-7888",
            "fax_number": "508-752-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMER",
        "first_name": "CHRISTINE",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "202628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110003191A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfreemer273943@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "291 Lincoln St Ste 101",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "291 Lincoln St Ste 101",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.