Freedom Services, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5004249 Issued in NC

Legal business name

FREEDOM SERVICES, LLC

Practice address

9635 Southern Pine Blvd # 122
Charlotte, NC 28273-5558

Phone

(704) 777-9974

NPI assigned

Jan 19, 2013

Last updated

Jan 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Almaz Johnson

Title

Ceo

Phone

(704) 777-9974

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358553600000",
    "number": "1902144363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD # 122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD # 122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-777-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-19",
        "last_updated": "2013-01-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALMAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-777-9974"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Medical Clinic & Urgent Care PA
• Freedom Now Healthcare Services
• Freedom Now Home Care-NC, LLC
• Freedom Now Services LLC
• Freedom Path Transitional Housing LLC
• Nicole Michele Freeman-Favia
• Alena A Freeman, M.CL.SC.
• Angela Michelle Freeman, LPC
• Antwon Tarik Freeman
• Ariel Freeman

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.