Active NPI
Laurie Anne Freeman-Gibb, N.P.
- Adult Health Nurse Practitioner
- Detroit, MI
National Provider Identifier
1699756213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704163706
- Practice address
- 4100 John R St
Walt CBC Karmanos CC
Detroit, MI 48201-2013 - Phone
- (313) 576-8694
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704163706 | MI | Primary |
Addresses
Primary practice location
4100 John R St
Walt CBC Karmanos CC
Detroit, MI 48201-2013
Mailing address
2524 Curry Ave
Windsor, ONTARIO N9E 2S5
CA
Phone (519) 250-0477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50-0-86-6521-0 | Other | MI | BCBS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Ann Karmanos Cancer Institute | Past | Accepting new patients | |
| University Internal Medicine Specialists | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Detroit, MI
- NPI 1225022288
-
- Pulmonary Disease Physician
- Detroit, MI
- NPI 1831223346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699756213",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "2524 CURRY AVE",
"city": "WINDSOR",
"state": "ONTARIO",
"postal_code": "N9E 2S5",
"telephone_number": "519-250-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 JOHN R ST",
"address_2": "WALT CBC KARMANOS CC",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012013",
"telephone_number": "313-576-8694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN-GIBB",
"first_name": "LAURIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704163706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "50-0-86-6521-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.