Active NPI
Kelly Freese, D.V.M.
- Veterinarian
- Seaview, WA
National Provider Identifier
1851770416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- VT60479427
- Practice address
- 3717 Pacific Way
Seaview, WA 98644 - Phone
- (360) 642-2232
- NPI assigned
- May 28, 2015
- Last updated
- May 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | VT60479427 | WA | Primary |
Addresses
Primary practice location
3717 Pacific Way
Seaview, WA 98644
Mailing address
PO Box 449
Seaview, WA 98644-0449
Phone (360) 642-2232
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 |
|---|---|---|---|
| VT60479427 | WA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1851770416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "SEAVIEW",
"state": "WA",
"postal_code": "986440449",
"telephone_number": "360-642-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 PACIFIC WAY",
"city": "SEAVIEW",
"state": "WA",
"postal_code": "98644",
"telephone_number": "360-642-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREESE",
"first_name": "KELLY",
"credential": "D.V.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "WA",
"license": "VT60479427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seaview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.