Active NPI
Rhiannon Freiberg, NP
- Physician Assistant
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007308
- Practice address
- 3355 Eagle Park Dr NE Ste 103
Grand Rapids, MI 49525-7004 - Phone
- (616) 942-7400
- Fax
- (616) 942-7405
- NPI assigned
- Mar 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
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- NPI 1578363362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150330001913 | MI | Practitioner - Physician Assistant | 3779800867 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500
3355 Eagle Park Dr NE
Ste 103
Grand Rapids, MI 49525
Phone (616) 942-7400
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007308 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3355 Eagle Park Dr NE Ste 103
Grand Rapids, MI 49525-7004
Mailing address
3355 Eagle Park Dr NE Ste 103
Grand Rapids, MI 49525-7004
Phone (616) 942-7400
Other practice location 1
917 W Milham Ave
Portage, MI 49024
Phone (269) 567-9806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2019.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1801289459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 EAGLE PARK DR NE STE 103",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495257004",
"telephone_number": "616-942-7400",
"fax_number": "616-942-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 EAGLE PARK DR NE STE 103",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495257004",
"telephone_number": "616-942-7400",
"fax_number": "616-942-7405"
}
],
"practiceLocations": [
{
"address_1": "917 W Milham Ave",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "MI",
"postal_code": "49024",
"country_code": "US",
"telephone_number": "269-567-9806",
"fax_number": "269-567-9808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREIBERG",
"first_name": "RHIANNON",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.