Jetton Freeman

Primary specialty

Meals ProviderTaxonomy code 174200000X

License

RT637221 Issued in OH

Practice address

4338 E 71St St
Cleveland, OH 44105-5762

Phone

(216) 301-6751

NPI assigned

Apr 15, 2021

Sex

Male

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

Practice roles

Locations

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.

• Greedys

  • Meals Provider
  • Cleveland, OH
  • NPI 1295316800
  NPD Authorized official
• Independent Healthcare 2.0

  • Case Management Agency
  • Cleveland, OH
  • NPI 1417655473
  NPD Authorized official

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1679154389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15311 EDGEWOOD AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373903",
            "telephone_number": "216-301-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 E 71ST ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441055762",
            "telephone_number": "216-301-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JETTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "OH",
            "license": "RT637221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lane Freeman, MD
• Emily Ann Freeman, DO
• Emma Mae Freeman
• George Morocco Freeman Sr.
• Jessica Freeman
• Justine Freeman
• Lajean Fonta Freeman, LPN
• Lakishia R Freeman
• Latayia Jaylene Karen Freeman
• Linda A Freeman, LISW

• Meals Provider in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Meals Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.