Freedom Health and Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FREEDOM HEALTH AND WELLNESS LLC

Practice address

7956 Heirloom Dr
Pensacola, FL 32514-3993

Phone

(251) 214-5157

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Tyeshia BowenNPI 1275934952

Title

Owner

Phone

(251) 214-5157

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tyeshia Anita Bowen, CRNP

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1275934952
  NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1780417287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 HEIRLOOM DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325143993",
            "telephone_number": "251-214-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7956 HEIRLOOM DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325143993",
            "telephone_number": "251-214-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TYESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-214-5157"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Ashley Frazier, PA-C
• Dawn Renee Frederic, ARNP
• Haleigh Fredericks, MD
• Charlotte Rose Frederickson, RPH
• Kenneth Alan Fredriksson, PHARMD
• Freedom to Go Inc.
• Freedom to Go, Inc.
• Dale W Freelan
• Aisha W Freeman, PHARMD
• Dustin Alexis Freeman, DO

• Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.