Active NPI
Elizabeth Freund, FNP
- Family Nurse Practitioner
- Royal Oak, MI
National Provider Identifier
1881003564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704327666
- Practice address
- 1200 W 11 Mile Rd
Royal Oak, MI 48067-2454 - Phone
- (248) 439-6375
- NPI assigned
- Aug 7, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704327666 | MI | Primary |
Addresses
Primary practice location
1200 W 11 Mile Rd
Royal Oak, MI 48067-2454
Mailing address
1207 Longfellow Ave
Royal Oak, MI 48067
Phone (716) 545-0399
Other practice location 1
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 336-4000
Other practice location 2
33 W 9 Mile Rd
Hazel Park, MI 48030-1701
Phone (866) 389-2727
Other practice location 3
701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234534 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704327666 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881003564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 LONGFELLOW AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48067",
"telephone_number": "716-545-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W 11 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672454",
"telephone_number": "248-439-6375"
}
],
"practiceLocations": [
{
"address_1": "911 E 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Ferndale",
"state": "MI",
"postal_code": "482201934",
"country_code": "US",
"telephone_number": "248-336-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33 W 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Hazel Park",
"state": "MI",
"postal_code": "480301701",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054210",
"country_code": "US",
"telephone_number": "864-455-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREUND",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704327666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "234534",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.