JANETTA K FREEMAN (NPI# 1083700934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083700934 |
Entity Type | Individual |
Full Name | JANETTA K FREEMAN |
Credential | RNC, PAC |
Practice Address |
505 N Main St Ulysses KS 67880-2135 |
Practice Telephone | 6203561261 |
Mailing Telephone | 6203561261 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1500649 | KS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100340610B | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
200 Commodore St, Pratt, KS 671242903 | 6204501130 | 6204501741 |
Street Address |
505 N MAIN ST |
City | ULYSSES |
State | KS |
Zip Code | 67880-2135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699387209 | St. Catherine Hospital | Internal Medicine | 505 N Main St, Ulysses, KS 67880-2135 | 2020-08-17 |
1386254753 | Erin Elizabeth Casey | Nurse Practitioner | 505 N Main St, Ulysses, KS 67880-2135 | 2020-07-31 |
1013527472 | St. Catherine Hospital | Family Medicine | 505 N Main St, Ulysses, KS 67880-2135 | 2020-07-31 |
1295255289 | Rahel Hailemichael Woldemariam | Family Medicine | 505 N Main St, Ulysses, KS 67880-2135 | 2017-06-21 |
1710422795 | St Catherine Hospital | Family Medicine | 505 N Main St, Ulysses, KS 67880 | 2016-12-29 |
1477902898 | Ashley Johnson | Nurse Practitioner | 505 N Main St, Ulysses, KS 67880 | 2016-06-07 |
1366851313 | Nora Patricia Elizalde | Nurse Practitioner | 505 N Main St, Ulysses, KS 67880 | 2014-08-04 |
1205922150 | Patrick N Barker | Surgery | 505 N Main St, Ulysses, KS 67880-2135 | 2006-10-05 |
1083633846 | Christine M. Zambon | Physician Assistant | 505 N Main St, Ulysses, KS 67880-2135 | 2006-07-19 |
1124058755 | Robert L Rosin | Internal Medicine | 505 N Main St, Ulysses, KS 67880-2135 | 2006-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487130852 | Western Prairie Assisted Living Operations LLC | Assisted Living Facility | 750 N Missouri St, Ulysses, KS 67880 | 2018-07-18 |
1013240613 | Unified School District #214 | Local Education Agency (LEA) | 111 S Baughman St, Ulysses, KS 67880 | 2009-09-14 |
1265482467 | Bob Wilson Memorial Grant County Hospital | General Acute Care Hospital | 415 N Main, Ulysses, KS 67880 | 2006-05-11 |
1205358959 | Western Prairie Nursing Facility Operations LLC | Skilled Nursing Facility | 510 E San Jacinto Ave, Ulysses, KS 67880 | 2017-07-14 |
1255648036 | Prairie Vista Dental, LLC | Dentist | 209 W Central Ave, Uysses, KS 67880 | 2010-09-01 |
1801824123 | Bob Wilson Memorial Grant County Hospital | Medicare Defined Swing Bed Unit | 415 N Main, Ulysses, KS 67880 | 2006-06-28 |
1669441523 | County of Grant | Ambulance | 320 E Oklahoma Ave, Ulysses, KS 67880-0514 | 2006-03-14 |
1891711297 | Critical Care Transfer, Inc | Ambulance | 925 N Wilson St, Ulysses, KS 67880-1655 | 2006-07-15 |
1801411731 | Chelsea Gray | Registered Nurse | 119 N Wilson St, Ulysses, KS 67880-1949 | 2020-06-16 |
1225039118 | Douglas Edward Johnson | Family Medicine | 202 W Kansas Ave, Ulysses, KS 67880-2034 | 2005-08-02 |
Find all providers in zip 67880 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675725 | Jordan Levi Walter | Physician Assistant | Associated Urologsits P A, 1133 College Ave G100, Manhattan, KS 66502-2756 | 2019-05-29 |
1316217102 | Tina L Lee | Physician Assistant | 15263 Sweetbriar Dr, Basehor, KS 66007-3031 | 2012-01-10 |
1407098395 | Kara Leigh-lawless Boyd | Physician Assistant | 3651 College Boulevard, Leawood, KS 66211 | 2009-03-24 |
1053446708 | Eastern Surgical Assistants, LLC | Physician Assistant | 16427 Metro Ave, Bonner Springs, KS 66012-7108 | 2007-02-22 |
1730223785 | Ty M. Taylor | Physician Assistant | 8321 Alden St, Lenexa, KS 66215-4213 | 2007-02-16 |
1366457038 | Gustav Thomas Riemer | Physician Assistant | 9119 W. 74th Street, Suite 354, Shawnee Mission Medical Building, Merriam, KS 66204 | 2006-07-30 |
1699795112 | Kenneth Brian Filsinger | Physician Assistant | 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 | 2006-07-20 |
1962435552 | Gregory Bryan De Laney | Physician Assistant | 1431 Bluffview St Ste 210, Wichita, KS 67218-3039 | 2006-07-08 |
1538122973 | Leah Alpers | Physician Assistant | 351 W 10th St, Hoisington, KS 67544-1715 | 2006-04-07 |
1275596611 | Anne Linenberger | Physician Assistant | 1514 K 96 Highway, Great Bend, KS 67530 | 2006-04-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.