Lateisha Freeman, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

800927-01 Issued in NY

Practice address

1 Cross Island PLZ Ste 210
Rosedale, NY 11422-1456

Phone

(718) 978-4999

Fax

(718) 276-6901

NPI assigned

Sep 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1831703826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LENOX RD APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262330",
            "telephone_number": "917-834-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CROSS ISLAND PLZ STE 210",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221456",
            "telephone_number": "718-978-4999",
            "fax_number": "718-276-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "LATEISHA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "800927-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "FHIR",
            "affiliation": "N",
            "address_1": "1 Cross Island Plz Ste 210",
            "city": "Rosedale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114221456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Registered Nurse in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.