Active NPI
Alexis Freedman
- School Psychologist
- Annandale, VA
National Provider Identifier
1548838295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 7825 Heritage Dr
Annandale, VA 22003-5312 - Phone
- (703) 914-7300
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
7825 Heritage Dr
Annandale, VA 22003-5312
Mailing address
8270 Willow Oaks Corporate Dr
Fairfax, VA 22031-4530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239617 | Other | EMPOLYEE ID |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1548838295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8270 WILLOW OAKS CORPORATE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 HERITAGE DR",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220035312",
"telephone_number": "703-914-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPOLYEE ID",
"identifier": "239617",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
- Foundation Fitness of Annandale
- Foundation Fitness of Annandale (Foundation Fitness)
- Annemarie C Francis, ATC
- Molly Franzonello, CNM
- Jennifer Denise Free, M.ED. CCC-SLP/L
- Gail J Freeman, WHNP
- James H French Jr., MD
- Edward M Friedler, M.D.
- Friends Health Care Team, Inc.
- Friends Nemt, Inc. (Friends NEMT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.