Active NPI
Tamara Regina Freda, R.D., L.D.
- Registered Dietitian
- Scranton, PA
National Provider Identifier
1710121611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN000932
- Practice address
- 435 Scranton Carbondale Hwy
3Rd Floor
Scranton, PA 18508-1115 - Phone
- (570) 343-4334
- NPI assigned
- Apr 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN000932 | PA | Primary |
Addresses
Primary practice location
435 Scranton Carbondale Hwy
3Rd Floor
Scranton, PA 18508-1115
Mailing address
214 Carpenter Hill Rd
South Abington Township, PA 18411-2915
Phone (570) 586-6196
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN000932 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Rehabilitation Associates, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1104878412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240444800000",
"number": "1710121611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CARPENTER HILL RD",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184112915",
"telephone_number": "570-586-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 SCRANTON CARBONDALE HWY",
"address_2": "3RD FLOOR",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185081115",
"telephone_number": "570-343-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDA",
"first_name": "TAMARA",
"middle_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2009-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN000932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
- Brian Leigh Frank, M.D.
- Renee Frank, MD
- Danielle Gina Frascella, M.S., CRC, LPC
- Mark Anthony Frattali, M.D.
- Cawanda Nicole Frazier, FNP-C
- Erika Freely, RDN
- Michael Andrew Freeman, PA-C
- Fresenius Medical Care West Scranton, LLC (Fresenius Kidney Care of West Scranton)
- Cheryl Friedman, CRNP
- Nicole Friedman, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.