Active NPI
Joanne Aletha Freeman, C.P.N.P.
- Pediatric Registered Nurse
- Longview, WA
National Provider Identifier
1053302778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- RN00120002
- Practice address
- 784 14TH Ave
Longview, WA 98632-2315 - Phone
- (360) 425-6111
- Fax
- (360) 636-1297
- NPI assigned
- Nov 2, 2005
- 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 Registered Nurse | 163WP0200X | RN00120002 | WA | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | AP30003667 | WA |
Addresses
Primary practice location
784 14TH Ave
Longview, WA 98632-2315
Mailing address
784 14TH Ave
Longview, WA 98632-2315
Phone (360) 425-6111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129607 | Other | WA | WA LABOR & INDUSTRIES |
| 9615436 | Medicaid | WA | |
| 036033 | Medicaid | OR |
Other names 1
- Jodi Aletha Freeman
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, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00120002 | WA | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1053302778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "784 14TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322315",
"telephone_number": "360-425-6111",
"fax_number": "360-636-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 14TH AVE",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322315",
"telephone_number": "360-425-6111",
"fax_number": "360-636-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JOANNE",
"middle_name": "ALETHA",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "WA",
"license": "RN00120002",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP30003667",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "129607",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9615436",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036033",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "FREEMAN",
"middle_name": "ALETHA",
"credential": "C.P.N.P.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.