Be Free Lifestyle Medicine LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BE FREE LIFESTYLE MEDICINE LLC

Practice address

110 Cedar Ave Apt 101
Snohomish, WA 98290-2959

Phone

(360) 282-4014

Fax

(360) 282-4017

NPI assigned

Dec 3, 2019

Last updated

Jan 28, 2020By 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

Theresa Lynn Free, FNP

Title

Member

Phone

(425) 344-8513

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1932746468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 HARRISON AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013346",
            "telephone_number": "425-344-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CEDAR AVE APT 101",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902959",
            "telephone_number": "360-282-4014",
            "fax_number": "360-282-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE FREE LIFESTYLE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-344-8513",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylah Barrett
• Taru Barrett
• Bartell Drugs
• Amy Nicole Barton
• Rocio Bauman, COTA
• Karen Lynn Beasley, BCBA
• Matthew Bennett, PHARM.D.
• Cassidy Berday, DMD
• Alicia Ann Berlin
• Lori Bernethy, LMP

• Health Service Clinic/Center in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.