Organization Active NPI

Freedom Family Health Care, LLC

  • Clinic/Center
  • Parkersburg, WV
National Provider Identifier
1700530839
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FREEDOM FAMILY HEALTH CARE, LLC
Practice address
1701 7TH St
Parkersburg, WV 26101-5007
Phone
(304) 485-9027
Fax
(304) 679-1012
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Barbara Lott, NP-CNPI 1982992921
Title
Family Nurse Practitioner
Phone
(304) 485-9027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1701 7TH St
Parkersburg, WV 26101-5007

Mailing address

PO Box 4178
Parkersburg, WV 26104-4178
Phone (304) 485-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310001012 WV Part B Supplier - Clinic/Group Practice 8820483894 Receives reassigned benefits from 2 practitioners
Practice locations: Parkersburg, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2247961Freedom Family Health Care, LLC1701 7TH St, Parkersburg, WV 26101Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

800 Division St
Parkersburg, WV 26101
Phone (304) 485-9027

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1700530839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4178",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261044178",
            "telephone_number": "304-485-9027",
            "fax_number": "304-679-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 7TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015007",
            "telephone_number": "304-485-9027",
            "fax_number": "304-679-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM FAMILY HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "304-485-9027",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.