Individual provider Active NPI

Yvette Freeman, NP

  • Adult Health Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1821864208
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
FREE-0M10C Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(813) 785-4423
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X FREE-0M10C NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (813) 785-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240201001602 NC Practitioner - Nurse Practitioner 8123471588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Kidney Care PAGroup PAC ID 4587576020, 24 clinicians

Practice addresses (Care Compare)

557 Sandhurst Dr
Fayetteville, NC 28304-4433
Phone (910) 484-8114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
FREE-0M10CNCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Kidney Care, PA CurrentSince Jan 22, 2024 Accepting new patients
Bio-Medical Applications of Fayetteville, Inc. Past Accepting new patients

Locations

219 Martin Luther King Jr Dr
Bladenboro, NC 28320

1740 Southeast Blvd
Clinton, NC 28328
Phone (910) 592-1600

101 Dialysis Dr
Elizabethtown, NC 28337
Phone (910) 862-7022

704 S Walnut St
Fairmont, NC 28340
Phone (910) 628-6898

6959 Nexus Ct
Fayetteville, NC 28304
Phone (910) 867-2602

130 Longview Dr
Fayetteville, NC 28311
Phone (910) 482-3491

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

557 Sandhurst Dr
Fayetteville, NC 28304

526 Ramsey St
Fayetteville, NC 28301
Phone (704) 989-1800

2560 Legion Rd
Fayetteville, NC 28306
Phone (910) 323-5288

1250 Linkhaw Rd
Lumberton, NC 28358
Phone (910) 348-8760

810 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 618-1055

720 Wesley Pines Rd
Lumberton, NC 28358
Phone (910) 738-2421

1327 Harry West Ln
Pembroke, NC 28372
Phone (910) 522-7126

285 Paraclete Dr
Raeford, NC 28376
Phone (910) 878-0052

403 S Main St
Raeford, NC 28376
Phone (910) 875-6561

1000 E 4th Ave
Red Springs, NC 28377
Phone (910) 843-9311

11016 Red Springs Rd
Red Springs, NC 28377
Phone (910) 843-3205

100 E Pleasant St
Roseboro, NC 28382
Phone (910) 525-0405

Interoperability endpoints

  • Direct secure messaging: yfreeman61605@direct.acumenmd.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1821864208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "813-785-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "813-785-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "FREE-0M10C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.