Active NPI
Julie Freemann, MSED
- Specialist
- Acra, NY
National Provider Identifier
1831452762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 158786861
- Practice address
- 634 Joseph Chadderdon Rd
Acra, NY 12405-1337 - Phone
- (518) 622-9115
- NPI assigned
- Jun 15, 2012
- Last updated
- Jun 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 158786861 | NY | Primary |
Addresses
Primary practice location
634 Joseph Chadderdon Rd
Acra, NY 12405-1337
Mailing address
634 Joseph Chadderdon Rd
Acra, NY 12405-1337
Phone (518) 622-9115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2803 | Other | NY | EARLY INTERVENTION |
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 |
|---|---|---|---|
| 158786861 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1831452762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 JOSEPH CHADDERDON RD",
"city": "ACRA",
"state": "NY",
"postal_code": "124051337",
"telephone_number": "518-622-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 JOSEPH CHADDERDON RD",
"city": "ACRA",
"state": "NY",
"postal_code": "124051337",
"telephone_number": "518-622-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMANN",
"first_name": "JULIE",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "158786861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EARLY INTERVENTION",
"identifier": "2803",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Acra, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.