Active NPI
Kimberly Dawn Freitas, MSN, RNC-MNN, IBCLC
- Family Nurse Practitioner
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024179612
- Practice address
- 3300 Rivermont Ave
Lynchburg, VA 24503-2030 - Phone
- (434) 200-3000
- NPI assigned
- Jun 5, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001223303 | VA | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-108348 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024179612 | VA | Primary |
Addresses
Primary practice location
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Mailing address
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 401-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Nationwide Dr
Lynchburg, VA 24502-4271
Phone (434) 237-7890
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001223303 | VA | MD | Registered Nurse |
| L-108348 | VA | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Health Services of Central Virginia, Inc. | Current | Accepting new patients |
Locations
114 Nationwide Dr
Lynchburg, VA 24502
Phone (434) 237-7890
3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668
Interoperability endpoints
- women'shealthservicesofcentralva.kimberlyfreitas@146509.advancedmd-direct.com
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.
-
- Obstetrics & Gynecology Physician
- Lynchburg, VA
- NPI 1053417196
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lynchburg, VA
- NPI 1770693939
-
dba Centra Health Cardiothoracic Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1407884448
Hospital
-
dba The Pain Center
- Pain Medicine (Anesthesiology) Physician
- Lynchburg, VA
- NPI 1811925852
Hospital
-
dba The Wound Care Center
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lynchburg, VA
- NPI 1902834948
Hospital
-
dba CMG Vascular Surgery
- Vascular Surgery Physician
- Lynchburg, VA
- NPI 1144880782
Hospital
-
dba Centra Medical Group Stroobants Cardiovascular Center
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1184964124
Hospital
-
dba Centra Lynchburg Hematology and Oncology
- Hematology & Oncology Physician
- Lynchburg, VA
- NPI 1700293628
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599350400000",
"number": "1790277663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 RIVERMONT AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032030",
"telephone_number": "434-401-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 RIVERMONT AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032030",
"telephone_number": "434-200-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREITAS",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "MSN, RNC-MNN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2020-09-06",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001223303",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "VA",
"license": "L-108348",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024179612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.