Individual provider Active NPI

Tekisha Rina Freeman, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1861035289
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012405 Issued in NC
Practice address
3115 Bordeaux Park Dr
Fayetteville, NC 28306-2894
Phone
(910) 307-7337
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012405 NC Primary

Addresses

Primary practice location

3115 Bordeaux Park Dr
Fayetteville, NC 28306-2894

Mailing address

917 Locklear Rd
Pembroke, NC 28372-8510
Phone (910) 536-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201128000089 NC Practitioner - Nurse Practitioner 7214348143 Reassigns benefits to 4 organizations
I20230329002025 SC Practitioner - Nurse Practitioner 7214348143 Reassigns benefits to 1 organization

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
Lumberton Family and Urgent Care Center PLLCGroup PAC ID 9739215963, 2 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

309 N Roberts Ave
Lumberton, NC 28358-5383
Phone (910) 739-0272

957 Cheraw St
Bennettsville, SC 29512-2420
Phone (843) 454-0245

Hospital & facility affiliations

  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumberton Family & Urgent Care Center PLLC Family Medicine CurrentSince Sep 28, 2020 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Mar 1, 2023 Accepting new patients
Scotland Memorial Hospital Inc Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Sandhills Emergency Physicians PA CurrentSince Jun 30, 2021 Accepting new patients
Robeson Hospitalist Group PLLC CurrentSince Jun 1, 2021 Accepting new patients
Harris Family Practice PLLC Family Medicine Past Accepting new patients
Lumberton Family Urgent Care Center PastSince Sep 28, 2020 Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

309 N Roberts Ave
Lumberton, NC 28358
Phone (910) 739-0272

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

957 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0245

1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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 1

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1861035289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 LOCKLEAR RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728510",
            "telephone_number": "910-536-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 BORDEAUX PARK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062894",
            "telephone_number": "910-307-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TEKISHA",
        "middle_name": "RINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.