Individual provider Active NPI

Cherilyn Freitas, FNP-C

  • Family Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1831744713
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03662 Issued in RI
Practice address
400 Stanley St
Fall River, MA 02720-6009
Phone
(508) 675-1054
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2280395 MA
Family Nurse Practitioner 363LF0000X RN2280395 MA
Family Nurse Practitioner 363LF0000X APRN03662 RI Primary

Addresses

Primary practice location

400 Stanley St
Fall River, MA 02720-6009

Mailing address

400 Stanley St
Fall River, MA 02720-6009
Phone (508) 971-6212

Other practice location 1

2 Dudley St Ste 375
Providence, RI 02905-3248
Phone (401) 606-8530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20231130003460 RI Practitioner - Nurse Practitioner 5597195685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians

Practice addresses (Care Compare)

2 Dudley St
Providence, RI 02905-3236
Phone (401) 444-5662

Hospital & facility affiliations

  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Jan 8, 2023 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 10, 2024 Accepting new patients
Rhode Island Hospital CurrentSince Jan 8, 2023 Accepting new patients
Lifespan Corporation Current Accepting new patients
Gateway Healthcare Inc CurrentSince Jun 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. Family CurrentSince Jan 10, 2024 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

105 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

2 Dudley St
Ste 375
Providence, RI 02905
Phone (401) 606-8530

200 Corliss St
#1
Providence, RI 02904
Phone (401) 606-8530

1 Virginia Ave
Ste 200
Providence, RI 02905

593 Eddy St
Providence, RI 02903

2 Dudley St
Providence, RI 02905
Phone (401) 444-2299

593 Eddy St
#970
Providence, RI 02903
Phone (401) 444-2128

Interoperability endpoints

  • Direct secure messaging: cfreitas221519@brownhealth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1831744713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-971-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-675-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Dudley St Ste 375",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053248",
            "country_code": "US",
            "telephone_number": "401-606-8530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "CHERILYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2280395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2280395",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.