Larry Steven Freeman Jr., ARRT (R), CNMT

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

526609 Issued in TN

Practice address

James H. Quillen VA Medical Center
Mountain Home, TN 37684

Phone

(423) 926-1171

Fax

(423) 979-3414

NPI assigned

Nov 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1144650516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 WINDWOOD DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045958",
            "telephone_number": "423-926-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H. QUILLEN VA MEDICAL CENTER",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171",
            "fax_number": "423-979-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "LARRY",
        "middle_name": "STEVEN",
        "name_suffix": "Jr.",
        "credential": "ARRT (R), CNMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TN",
            "license": "526609",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "MN",
            "license": "337987",
            "primary": false
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "GA",
            "license": "037775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONAL CERTIFICATION",
            "identifier": "037775",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED MEDICAL X-RAY TECHNOLOGIST",
            "identifier": "MDX0000008167",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST (ARRT), NATIONAL CERTIFICATION",
            "identifier": "337987",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa K Fletcher, LMFT
• James Cornelius Forgey III, M.S.
• Julie Ann Fracolli, LCSW
• Sheila Joyce Frakes, CRT
• Cody Frasure, MSW
• Kasandra Leann Fultz, RD
• Catherine Gagel, RD, LDN
• Lauren Gammel, M.D.
• Sharon Kay Garris, R.N.
• Dax Alan Gay, O.D.

• Radiologic Technologist in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Radiologic Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.