Individual provider Active NPI

Fanta Freeman, CNM

  • Advanced Practice Midwife
  • Cranston, RI
National Provider Identifier
1881147569
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM00203 Issued in RI
Practice address
1150 Reservoir Ave Ste 300
Cranston, RI 02920-6032
Phone
(401) 223-2828
Fax
(401) 223-2825
NPI assigned
Jul 28, 2016
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 CNM00203 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 300
Cranston, RI 02920-6032

Mailing address

1150 Reservoir Ave Ste 300
Cranston, RI 02920-6032
Phone (401) 223-2828

Other practice location 1

874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553

Other names 1

  • Fanta Conde Former name

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613000028 RI Practitioner - Certified Nurse Midwife (CNM) 0143762591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venus OB-GYN IncGroup PAC ID 5092075226, 6 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Suite 300
Cranston, RI 02920-6043
Phone (401) 223-2828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNM00203RIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Venus OB-GYN Inc CurrentSince May 5, 2024 Accepting new patients
Affinity Physicians LLC. Gynecology Current Accepting new patients

Locations

1150 Reservoir Ave
Ste 300
Cranston, RI 02920
Phone (401) 223-2828

Interoperability endpoints

  • Direct secure messaging: ffreeman@direct.carene.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1881147569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 300",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-223-2828",
            "fax_number": "401-223-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 300",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-223-2828",
            "fax_number": "401-223-2825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 Purchase St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027406232",
            "country_code": "US",
            "telephone_number": "508-992-6553",
            "fax_number": "508-984-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "FANTA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "CNM00203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FANTA",
            "last_name": "CONDE",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.