Active NPI
Karen Freeman, MSN, CPNP
- Pediatric Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1043338544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP2285
- Practice address
- 10105 Banburry Cross Drive
Suite 370
Las Vegas, NV 89144-6649 - Phone
- (702) 260-4525
- Fax
- (702) 869-0133
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN135409 | AZ | |
| Pediatric Nurse Practitioner | 363LP0200X | AP2285 | AZ | Primary |
Addresses
Primary practice location
10105 Banburry Cross Drive
Suite 370
Las Vegas, NV 89144-6649
Mailing address
Desert Valley Pediatrics, L.L.P.
10105 Banburry Cross Drive, Suite 370
Las Vegas, NV 89144-6649
Phone (702) 260-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2285 | AZ | MD | Pediatric Nurse Practitioner |
| RN135409 | AZ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Valley Pediatrics, LLP | Past | Accepting new patients | |
| Banner Childrens Banner Health Clinic LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1649360967
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1407191216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1043338544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DESERT VALLEY PEDIATRICS, L.L.P.",
"address_2": "10105 BANBURRY CROSS DRIVE, SUITE 370",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446649",
"telephone_number": "702-260-4525",
"fax_number": "702-869-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DRIVE",
"address_2": "SUITE 370",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446649",
"telephone_number": "702-260-4525",
"fax_number": "702-869-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "KAREN",
"credential": "MSN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "RN135409",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "AP2285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.