Individual provider Active NPI

Karen Freeman, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1043338544
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP2285 Issued in AZ
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

Updated by the provider on Jan 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AP2285AZMDPediatric Nurse Practitioner
RN135409AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.