Fraquania Talesh Freeman, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP126467 Issued in TX

Practice address

505 S Fleishel Ave
Tyler, TX 75702-8413

Phone

(903) 526-7055

Fax

(903) 593-4303

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tfreeman@direct.meditouchehr.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Northeast Texas Neurology Associates, P.a.

  • Neurology Physician
  • Tyler, TX
  • NPI 1972680130
  Medicare reassignment NPD

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1821499682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028413",
            "telephone_number": "903-526-7055",
            "fax_number": "903-593-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028413",
            "telephone_number": "903-526-7055",
            "fax_number": "903-593-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "FRAQUANIA",
        "middle_name": "TALESH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP126467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy L Freden, PA
• Bailey Fredenburg
• Fredrick J. Platt, DDS, PLLC
• Sheldon Ygnacio Freeberg, M.D.
• Cassandra Fay Freeland, MSN, APRN, FNP-BC
• L Don Freeman, M.D.
• Michelle Lee Freeze, DC
• Gregory L Freimer, MD
• Kassidy French
• Robert Xavier French, DO

• Primary Care Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.

Verify at the official NPI Registry.