Active NPI
Freedme
- Community/Behavioral Health Agency
- Greensboro, NC
National Provider Identifier
1760290886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FREEDME
- Practice address
- 4324 Creekdale Dr
Greensboro, NC 27406-8258 - Phone
- (336) 587-9260
- NPI assigned
- Dec 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catora Jasmine Gregory
- Title
- Owner
- Phone
- (336) 587-9260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4324 Creekdale Dr
Greensboro, NC 27406-8258
Mailing address
4324 Creekdale Dr
Greensboro, NC 27406-8258
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734652800000",
"number": "1760290886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 CREEKDALE DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4324 CREEKDALE DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068258",
"telephone_number": "336-587-9260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDME",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "CATORA",
"authorized_official_middle_name": "JASMINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-587-9260"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.