Irena Freystaetter, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LMW-0087 Issued in SC

Practice address

850 Floyd Road Ext
Spartanburg, SC 29307-1048

Phone

(303) 305-8976

NPI assigned

Apr 1, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bloom Midwifery LLC

  • Midwife
  • Greenville, SC
  • NPI 1568358836
  NPD Authorized official

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1568090637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CLEVEIRVINE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071807",
            "telephone_number": "303-305-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FLOYD ROAD EXT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071048",
            "telephone_number": "303-305-8976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1622 E North St Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296071329",
            "country_code": "US",
            "telephone_number": "303-305-8976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREYSTAETTER",
        "first_name": "IRENA",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "LMW-0087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Joseph Freestone, PAC
• Meredith Little Freiman, CRNA
• Sarah Cherup French, LMSW
• Lane Eric Fresh, MD
• Kristina Freund, DO
• Kenneth E. Frick, D.D.S.
• Katie Powers Friday, M.D.
• Daniel Fried, M.D.
• Wendy Frisby, ED.S. LMFT
• Melissa D Fritsche, MD

• All providers in Spartanburg, SC
• Midwife in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.