Individual provider Active NPI

Deborah J Freyer, ARNP

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1902830854
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2619402 Issued in FL
Practice address
3745 33Rd St N
St Petersburg, FL 33713-1506
Phone
(727) 525-0006
Fax
(727) 521-3694
NPI assigned
Jul 10, 2006
Last updated
Dec 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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 ARNP2619402 FL Primary

Addresses

Primary practice location

3745 33Rd St N
St Petersburg, FL 33713-1506

Mailing address

PO Box 1830
Clearwater, FL 33757-1830
Phone (727) 532-0002

Other identifiers 2

IdentifierTypeStateIssuer
P01103135OtherFLMEDICARE RAILROAD PROVIDER NUMBER
003860500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 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
I20191220002209 NC Practitioner - Nurse Practitioner 3577561844 Reassigns benefits to 2 organizations
I20230502002090 TN Practitioner - Nurse Practitioner 3577561844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

2960 Winfield Dunn Pkwy
Kodak, TN 37764-4309
Phone (865) 213-7104

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DX Mso, PLLC CurrentSince Jan 20, 2023 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Oct 5, 2019 Accepting new patients
Murphy Medical Center Inc Current Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Jun 7, 2023 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Oct 5, 2019 Accepting new patients
Our Family Doctors P L L C PastSince Nov 1, 2001 Accepting new patients
Stanley S Moles & Associates MD's PA Past Accepting new patients

Locations

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

4128 Monroe Rd
Charlotte, NC 28205
Phone (704) 337-0133

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

7564 Chapman Hwy
Knoxville, TN 37920
Phone (423) 458-1426

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1902830854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1830",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337571830",
            "telephone_number": "727-532-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 33RD ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131506",
            "telephone_number": "727-525-0006",
            "fax_number": "727-521-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYER",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2619402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P01103135",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003860500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.