MRS. CONNIE BEIRO FREEMAN (NPI# 1114206042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114206042 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE BEIRO FREEMAN |
| Other Name | MS. CONNIE BEIRO |
| Credential | NNP |
| Practice Address |
4320 Diplomacy Dr Anchorage AK 99508-5925 |
| Mailing Address |
Po Box 12424 Overland Park KS 66282-2424 |
| Practice Telephone | 9077294955 |
| Mailing Telephone | 9135307783 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
101-0134470 | VT | Allopathic & Osteopathic Physicians |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
5012691 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
137875 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3917 West Rd, Los Alamos, NM 875442275 | 5056619355 | |
| 4420 Lake Boone Trl, Raleigh, NC 276077505 | 9197842676 | |
| 111 Colchester Ave, Burlington, VT 054011473 | 8028470000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063808129 | Connie S Freeman | Occupational Therapist | 215 E Main St, Suite B, Northville, MI 48167-1681 | 2015-04-15 |
| 1023120045 | Connie Sue Freeman | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6983 | 2006-08-31 |
| 1912909128 | Connie Miller Freeman | Nurse Practitioner | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2005-06-01 |
| Street Address |
4320 DIPLOMACY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536104 | Cynthia Aguiar | Pharmacist | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2005-05-24 |
| 1164023594 | Stacie Ann Williamson | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-11-03 |
| 1235739590 | Tiffany Ma | Pharmacist | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-10-27 |
| 1124627922 | Southcentral Foundation | Pharmacy | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-10-22 |
| 1689281834 | Jessica Anahy Martinez | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-09-30 |
| 1801400494 | Ariel Nicole Moilanen | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-09-01 |
| 1407466386 | Timothy Lee Griffin | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-08-05 |
| 1073122065 | Kobe Keo Liftee Thammavongsa | Registered Nurse | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-07-27 |
| 1225653041 | Destiny Steward | Behavior Technician | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-06-09 |
| 1003430240 | Edward Washington II | Counselor | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841795952 | Tracie Ann Panting | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2018-03-29 |
| 1104059492 | Stacy Lynn Brunquist | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2009-09-02 |
| 1245464551 | Katherine Elizabeth Carrera | Nurse Practitioner | 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4627 | 2009-05-14 |
| 1437106796 | William Edward Trawick | Nurse Practitioner | 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616 | 2006-05-30 |
| 1508818758 | Cynthia Denise Rose | Nurse Practitioner | 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616 | 2006-05-16 |
| 1669423208 | Kristin Leanne Birdsong | Nurse Practitioner | 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616 | 2006-05-15 |
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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.