Active NPI
Kayla Lane Freeman
- Social Worker
- Austin, TX
National Provider Identifier
1114599172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105280
- Practice address
- 4361 S Congress Ave Unit 102
Austin, TX 78745-1289 - Phone
- (512) 710-5751
- NPI assigned
- Jul 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 105280 | TX | Primary |
Addresses
Primary practice location
4361 S Congress Ave Unit 102
Austin, TX 78745-1289
Mailing address
3505 S Lamar Blvd Apt 2061
Austin, TX 78704-7975
Phone (312) 465-6055
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105280 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625875200000",
"number": "1114599172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 S LAMAR BLVD APT 2061",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047975",
"telephone_number": "312-465-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4361 S CONGRESS AVE UNIT 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451289",
"telephone_number": "512-710-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "KAYLA",
"middle_name": "LANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-10",
"last_updated": "2021-07-10",
"certification_date": "2021-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "105280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.