Active NPI
Denise Marie Freeman, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
National Provider Identifier
1992894026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704128113
- Practice address
- 22101 Moross Rd
Detroit, MI 48236-2148 - Phone
- (313) 343-4766
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704128113 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
584 Coventry LN
Grosse Pointe Woods, MI 48236-1503
Phone (313) 884-1307
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992894026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 COVENTRY LN",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361503",
"telephone_number": "313-884-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704128113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.