Individual provider Active NPI

Lori Hayes Freeland, FNP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1619740594
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019117 Issued in NC
Practice address
4414 Lake Boone TRL Ste 405
Raleigh, NC 27607-7520
Phone
(919) 876-8225
Fax
(919) 876-3371
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 5019117 NC Primary

Addresses

Primary practice location

4414 Lake Boone TRL Ste 405
Raleigh, NC 27607-7520

Mailing address

1528 Mallard Trace Dr
Wendell, NC 27591-4417
Phone (919) 740-6156

Other practice location 1

11009 Ingleside Pl Ste 301
Raleigh, NC 27614-6697
Phone (919) 876-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240226002921 NC Practitioner - Nurse Practitioner 4981049350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

4414 Lake Boone TRL
Suite 405
Raleigh, NC 27607-7520
Phone (919) 876-8225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Feb 4, 2024 Accepting new patients
Raleigh OB/GYN Centre, PA Past Accepting new patients
Whap, PA Past Accepting new patients

Locations

11009 Ingleside Pl
Ste 301
Raleigh, NC 27614
Phone (919) 876-8225

4414 Lake Boone Trl
Ste 405
Raleigh, NC 27607
Phone (919) 876-8225

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7773/brand/51/csg/541/fhir/r4
  • Direct secure messaging: lori.freeland.1@7773.direct.athenahealth.com

Organizations & group practices 3

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1619740594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 MALLARD TRACE DR",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275914417",
            "telephone_number": "919-740-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 405",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077520",
            "telephone_number": "919-876-8225",
            "fax_number": "919-876-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11009 Ingleside Pl Ste 301",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276146697",
            "country_code": "US",
            "telephone_number": "919-876-8225",
            "fax_number": "919-876-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "LORI",
        "middle_name": "HAYES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.