Active NPI
Charmesia E Freshwater
- Adult Companion
- Jacksonville, FL
National Provider Identifier
1821828005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 240480
- Practice address
- 245 Riverside Ave Ste 100
Jacksonville, FL 32202-4930 - Phone
- (904) 300-7578
- NPI assigned
- Aug 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 240480 | FL | Primary |
| Developmentally Disabled Services Day Training Agency | 251C00000X |
Addresses
Primary practice location
245 Riverside Ave Ste 100
Jacksonville, FL 32202-4930
Mailing address
245 Riverside Ave Ste 100
Jacksonville, FL 32202-4930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240480 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1821828005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 RIVERSIDE AVE STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 RIVERSIDE AVE STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024930",
"telephone_number": "904-300-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRESHWATER",
"first_name": "CHARMESIA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-03",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "240480",
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.