Active NPI
Douglas Clark Freeman, M.S.; CCC-A
- Hearing Instrument Specialist
- Rochester, MN
National Provider Identifier
1194173617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2178
- Practice address
- 201 23Rd Ave SW
Suite 102
Rochester, MN 55902-2479 - Phone
- (507) 322-4241
- NPI assigned
- May 25, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2178 | MN | Primary |
Addresses
Primary practice location
201 23Rd Ave SW
Suite 102
Rochester, MN 55902-2479
Mailing address
201 23Rd Ave SW
Suite 102
Rochester, MN 55902-2479
Phone (507) 322-4241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187265600 | Medicaid | MN |
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 |
|---|---|---|---|
| 2178 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1194173617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 23RD AVE SW",
"address_2": "SUITE 102",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559022479",
"telephone_number": "507-322-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 23RD AVE SW",
"address_2": "SUITE 102",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559022479",
"telephone_number": "507-322-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "DOUGLAS",
"middle_name": "CLARK",
"name_prefix": "Mr.",
"credential": "M.S.; CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187265600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.