Rebecca Agnes Freeman, A.P.
Individual provider Active NPI Acupuncturist · Shalimar, FL
NPI 1720046006 · NPPES record last updated Dec 6, 2021
Key facts
- NPI
- 1720046006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AP1539 (FL)
- Practice address
- 1 11TH Ave Ste A1
Shalimar, FL 32579-1318 - Phone
- (850) 651-0160
- Fax
- (850) 651-0160
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1539 | FL | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP1539 | FL | Yes |
Addresses
Primary practice location
1 11TH Ave Ste A1
Shalimar, FL 32579-1318
Mailing address
9A Magnolia Ave SE
Ft Walton Beach, FL 32548-5617
Phone (850) 243-1830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0759 | Other | FL | BLUE CROSS BLUE SHIELD-AC |
| C1660 | Other | FL | BLUE CROSSBLUE SHIELD-MAS |
Other providers in Shalimar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.