Individual provider Active NPI

Beth A Freire, M.D.

  • Pediatrics Physician
  • North Andover, MA
National Provider Identifier
1689628570
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
151359 Issued in MA
Practice address
820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124
Phone
(978) 557-5712
Fax
(978) 557-5406
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 151359 MA Primary

Addresses

Primary practice location

820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124

Mailing address

800 Turnpike Street
Jefferson Office Park
North Andover, MA 01845-6124
Phone (978) 557-5712

Other identifiers 5

IdentifierTypeStateIssuer
5307494001OtherMACIGNA
151359OtherMATUFTS HEALTH PLAN
3157644MedicaidMA
201395OtherMAHARVARD COMMUNITY HEALTH
J17168OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
151359MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Andover Pediatric Associates Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bfreire18339@direct.chppoc.masshiway.net

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1689628570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TURNPIKE STREET",
            "address_2": "JEFFERSON OFFICE PARK",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456124",
            "telephone_number": "978-557-5712",
            "fax_number": "978-557-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820A TURNPIKE ST",
            "address_2": "JEFFERSON OFFICE PARK",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456124",
            "telephone_number": "978-557-5712",
            "fax_number": "978-557-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIRE",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "151359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5307494001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "151359",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3157644",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD COMMUNITY HEALTH",
            "identifier": "201395",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J17168",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.