AMY FREIJ (RD) – Registered Dietitian, NPI 1194559062

AMY FREIJ (RD) is a healthcare provider. based in Northville, Michigan. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. They hold a License No. 950229 (). The NPI Number for AMY FREIJ (RD) is 1194559062

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AMY FREIJ (RD)
NPI
1194559062
Phone
Not provided
Address
41201 ALDEA DR
Enumeration Date
31 August 2024
Last Update Date
31 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888074117
Graduation Year
2005 (21 years ago)
PAC ID
9537680475
Group Practice PAC ID
3072960491
Professional Enrollment ID
I20250306003772
Address ID
TX750392482IR6565XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:1State licenses:1Digital endpointsOther names

104 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MI

Provider Addresses for AMY FREIJ (RD)

  • 41201 ALDEA DR

    NORTHVILLE, MI 481683220

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 11 Medicare enrollment records; no due dates published yet.

Enrollment records

11

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250306003772IRegistered Dietitian Or Nutrition ProfessionalTXTBD
I20250414000377IRegistered Dietitian Or Nutrition ProfessionalAZTBD
I20250415002844IRegistered Dietitian Or Nutrition ProfessionalWITBD
I20250519001896IRegistered Dietitian Or Nutrition ProfessionalILTBD
I20250522001467IRegistered Dietitian Or Nutrition ProfessionalDCTBD
I20250624000577IRegistered Dietitian Or Nutrition ProfessionalIATBD
I20250814004745IRegistered Dietitian Or Nutrition ProfessionalNJTBD
I20250911004207IRegistered Dietitian Or Nutrition ProfessionalFLTBD
I20250912004406IRegistered Dietitian Or Nutrition ProfessionalGATBD
I20250923002489IRegistered Dietitian Or Nutrition ProfessionalWATBD
I20251113003147IRegistered Dietitian Or Nutrition ProfessionalARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48168)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072960491View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalPA
Registered Dietitian Or Nutrition ProfessionalIN
Registered Dietitian Or Nutrition ProfessionalFL
Registered Dietitian Or Nutrition ProfessionalMD
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalAR
Registered Dietitian Or Nutrition ProfessionalCO
Registered Dietitian Or Nutrition ProfessionalAZ
Registered Dietitian Or Nutrition ProfessionalAZ
Registered Dietitian Or Nutrition ProfessionalAZ

Reviews

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Frequently asked questions

What federal number belongs to AMY FREIJ (RD)?
The federal identifier for AMY FREIJ (RD) is NPI 1194559062.
Is AMY FREIJ (RD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is AMY FREIJ (RD)?
The page reflects Registered Dietitian for AMY FREIJ (RD). Clinical services aligned with this taxonomy classification.
Where does public data place AMY FREIJ (RD)?
The snapshot lists Northville, Michigan for AMY FREIJ (RD); download NPPES for the complete set.
What if Northville, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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