Charlotte Ann Freeman, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Kaneohe, HI
NPI 1508198250 · NPPES record last updated Feb 5, 2010
Key facts
- NPI
- 1508198250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 399 (HI)
- Practice address
- 45014A Waikalua Road
Kaneohe, HI 96744 - Phone
- (808) 352-4805
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 399 | HI | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 399 | HI | Yes |
Addresses
Primary practice location
45014A Waikalua Road
Kaneohe, HI 96744
Mailing address
P. O. Box 5403
Kaneohe, HI 96744
Phone (808) 352-4805
NPI Registry JSON
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1508198250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 5403",
"city": "KANEOHE",
"state": "HI",
"postal_code": "96744",
"telephone_number": "808-352-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45014A WAIKALUA ROAD",
"city": "KANEOHE",
"state": "HI",
"postal_code": "96744",
"telephone_number": "808-352-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "CHARLOTTE",
"middle_name": "ANN",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaneohe, HI
- Robert Stephen Fishman
- Fleurish and Grow
- Sergio G Florian
- Ted R Fontanilla
- Colleen M Fox
- Fresenius Medical Care Oahu LLC
- Francesca M. Freund
- Douglas Frisbie
- Kevin Lee Fujimoto
- Patrick Fujimoto
All providers in Kaneohe, HI · Speech-Language Pathologist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.