FREEMAN FAMILY PRACTICE LLC (NPI# 1750557302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750557302 |
Entity Type | Organization |
Organization Name | FREEMAN FAMILY PRACTICE LLC |
Practice Address |
10755 N Us Highway 25e Gray KY 40734-6529 |
Practice Telephone | 6062588050 |
Practice Fax Number | 6062588994 |
Mailing Telephone | 6062588050 |
Mailing Fax Number | 6062588050 |
Enumeration Date | 2008-05-05 |
Last Update Date | 2014-05-12 |
Authorized Official Name | TAMMY L FREEMAN (OWNER) |
Authorized Official Telephone | 6062588050 |
Authorized Official Credential | ARNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2597P | KY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900220 | KY | Ambulatory Health Care Facilities |
Street Address |
10755 N US HIGHWAY 25E |
City | GRAY |
State | KY |
Zip Code | 40734-6529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023105780 | Tammy L Freeman | Nurse Practitioner | 10755 N Us Highway 25e, Gray, KY 40734-6529 | 2006-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932622636 | Jessica Ashley Scearse | Specialist | 1892 Sam Parker Rd, Gray, KY 40734 | 2017-07-25 |
1043686561 | Ashley Barton | Nurse Practitioner | Us-25e Cumberland Gap Parkway, Gray, KY 40734 | 2015-08-19 |
1205905254 | Edna Eugenia Stewart | Nurse Practitioner | 39 Cumberland Gap Plaza, Gray, KY 40734-1401 | 2006-11-06 |
1801162672 | Superior Home Sleep Testing | Clinic/Center | 356 Highway 233, Gray, KY 40734-4504 | 2012-03-27 |
1174153514 | Redemption Road Recovery | Substance Abuse Rehabilitation Facility | 4222 Highway 830, Gray, KY 40734-4511 | 2020-01-24 |
1346242641 | Knox County Family Practice Clinic, Inc. | Nurse Practitioner | 39 Cumberland Gap Plz, Ste 1, Gray, KY 40734-4536 | 2005-06-01 |
1396257358 | Rita Carol Gilbert | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2017-10-31 |
1447702659 | Angela Eversole | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2016-11-04 |
1194173203 | Sandra J Nantz | Psychologist | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2016-05-31 |
1457784159 | Veronica L Boley | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2013-08-16 |
Find all providers in zip 40734 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
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1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
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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.