Individual provider Active NPI

Freida Burch Tucker, CNM

  • Advanced Practice Midwife
  • Greenville, NC
National Provider Identifier
1841248879
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
80141 Issued in NC
Practice address
101 Bethesda Dr
Greenville, NC 27834-7201
Phone
(252) 758-4181
Fax
(252) 758-2603
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 80141 NC Primary

Addresses

Primary practice location

101 Bethesda Dr
Greenville, NC 27834-7201

Mailing address

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101

Other identifiers 1

IdentifierTypeStateIssuer
7002010MedicaidNC

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000887 NC Practitioner - Certified Nurse Midwife (CNM) 3971790155 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
80141NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians East, P.a. CurrentSince Jun 1, 1999 Accepting new patients
Physicians East, PA CurrentSince Jun 1, 1999 Accepting new patients
Physicians East PA Past Accepting new patients

Locations

2251 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 757-3131

1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641

101 Bethesda Dr
Greenville, NC 27834
Phone (252) 758-4164

Interoperability endpoints

  • Direct secure messaging: freidatucker@pepa.medalliesdirect.net

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1841248879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-752-6101",
            "fax_number": "252-752-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347201",
            "telephone_number": "252-758-4181",
            "fax_number": "252-758-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "FREIDA",
        "middle_name": "BURCH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "80141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002010",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.