Shalieka Jalissa Freeney, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10303694 Issued in NY

Practice address

202 Brookford Rd
Syracuse, NY 13224-1702

Phone

(315) 383-2291

NPI assigned

Jan 21, 2012

Sex

Female

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

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1700157856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BROOKFORD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241702",
            "telephone_number": "315-383-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BROOKFORD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241702",
            "telephone_number": "315-383-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREENEY",
        "first_name": "SHALIEKA",
        "middle_name": "JALISSA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10303694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua William Freeman, MS OTR/L
• Rosina M Freeman
• Scott David Freeman, PA-C
• Shaquita Freeman, LPN
• Sherrill Freeman
• Jennifer Lynn Frega, OTR
• Katherine Clair Frega, MD
• Wanda Fremont, M.D.
• Gregory Louis French, D.M.D.
• Fresh Start Physical Therapy, PLLC

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.