Theresa Ann Fretwell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5146344 Issued in FL

Practice address

5527 Stewart St
Milton, FL 32570-4303

Phone

(850) 983-5200

Fax

(850) 983-5215

NPI assigned

Sep 20, 2012

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1578814224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704303",
            "telephone_number": "850-983-5200",
            "fax_number": "850-983-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704303",
            "telephone_number": "850-983-5200",
            "fax_number": "850-983-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETWELL",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5146344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Donald Fountain, DO
• Taylor Maria Foxhall
• Freeman Medical Group, Inc
• Freeman Medical Group, LLC
• Shundra Brown Freeman
• Ashleigh Elizabeth Frizen, ED.S.
• Amber Gaines, M.A.
• Raleigh Lynn Gamsky, M.S. CCC-SLP
• Rachel Garland
• Codie Nicole Garner, DDS

• Licensed Practical Nurse in Milton, FL
• Providers in Milton, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.