| Dr Kimberly Dyana Freisenbruch, DNP, PMHNP-BC | |
| 
					129 W Virginia Beach Blvd Ste 140, Norfolk, VA 23510-2030  | |
| (757) 452-3934 | |
| (833) 471-5922 | 
| Full Name | Dr Kimberly Dyana Freisenbruch | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 129 W Virginia Beach Blvd Ste 140, Norfolk, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245916733 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024187437 (Virginia) | Primary | 
| Entity Name | Alpha Psychiatric Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427525294 PECOS PAC ID: 7911246517 Enrollment ID: O20190226001406  | 
| Entity Name | Southside Diabetes | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417616202 PECOS PAC ID: 2365814324 Enrollment ID: O20230221001541  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kimberly Dyana Freisenbruch, DNP, PMHNP-BC 129 W Virginia Beach Blvd Ste 140, Norfolk, VA 23510-2030 Ph: (757) 452-3934  | Dr Kimberly Dyana Freisenbruch, DNP, PMHNP-BC 129 W Virginia Beach Blvd Ste 140, Norfolk, VA 23510-2030 Ph: (757) 452-3934  | 
Belinda James-petersen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7240 Fax: 757-668-7241  | |
Tracy Lyn Martino,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-8441  | |
Cecille Morido Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610  | |
Martha Idowu Morolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242  | |
Kacie Denise Carter, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8796 Fax: 757-668-9814  | |
Dr. Jessica D Snook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, 118, Norfolk, VA 23507 Phone: 757-446-5955 Fax: 757-446-5196  | |
Mrs. Ursula Julianna Pretorius,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Glenrock Rd, Suite 100, Norfolk, VA 23502 Phone: 757-252-3294 Fax: 757-510-9311  |