Individual provider Active NPI

Lorraine C Freire, FNP

  • Family Nurse Practitioner
  • East Setauket, NY
National Provider Identifier
1609972652
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333463-1 Issued in NY
Practice address
220 N Belle Mead Rd
Suite a
East Setauket, NY 11733-3458
Phone
(631) 941-2273
Fax
(631) 941-2501
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333463-1 NY Primary

Addresses

Primary practice location

220 N Belle Mead Rd
Suite a
East Setauket, NY 11733-3458

Mailing address

220 N Belle Mead Rd
Suite a
East Setauket, NY 11733-3458
Phone (631) 941-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503000921 NY Order and Referring Only - Nurse Practitioner 9739369919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F333463-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Suffolk Cardiology Associates PastSince Jul 7, 2008 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1609972652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N BELLE MEAD RD",
            "address_2": "SUITE A",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333458",
            "telephone_number": "631-941-2273",
            "fax_number": "631-941-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N BELLE MEAD RD",
            "address_2": "SUITE A",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333458",
            "telephone_number": "631-941-2273",
            "fax_number": "631-941-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIRE",
        "first_name": "LORRAINE",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333463-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.