MEDICARE: SHAQUITA FREEMAN LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	347444	NY

General Provider Information

NPI Number	:	1811855398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAQUITA FREEMAN LPN

Provider Business Mailing Address
First Line	:	113 PAUL AVE
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13206-3218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 PAUL AVE
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13206-3218
Country	:	US
Telephone Number	:	680-223-3150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

Similar Medicare Providers

1578844288 — MICHELE M JONIENTZ CCC-SLP
Practice Location Address:

171 SPAULDING AVE
SYRACUSE, NY
13205-3218

Practice Phone: 315-435-4610
Practice Fax:

1942581665 — MRS. CYNTHIA MARIE GUERTIN CCC-SLP
Practice Location Address:

171 SPAULDING AVE
SYRACUSE, NY
13205-3218

Practice Phone: 315-435-4610
Practice Fax:

1619244159 — ELIZABETH CANTWELL HEDGES REGISTERED NURSE
Practice Location Address:

171 SPAULDING AVE
SYRACUSE, NY
13205-3218

Practice Phone: 315-435-4612
Practice Fax: 315-435-6280

1013384544 — CARA NOONAN PT, DPT
Practice Location Address:

3218 ERIE BLVD E
SYRACUSE, NY
13214-1204

Practice Phone: 315-450-4898
Practice Fax:

1578935540 — BRANDI HALL OTR/L
Practice Location Address:

3218 ERIE BLVD E
SYRACUSE, NY
13214-1204

Practice Phone: 315-525-3254
Practice Fax:

1891224291 — STACY LYNN GAGE LCSW
Practice Location Address:

3300 JAMES ST STE 101201
SYRACUSE, NY
13206-2387

Practice Phone: 763-330-5254
Practice Fax:

Directions to “ SHAQUITA FREEMAN LPN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.