Active NPI
Kara Jordan Freeman, PA-C
- Physician Assistant
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10003131A
- Practice address
- 830 S 6TH St
Terre Haute, IN 47807-4712 - Phone
- (812) 213-8080
- NPI assigned
- May 17, 2020
- Last updated
- Oct 26, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 10003131A | IN | Primary |
Addresses
Primary practice location
830 S 6TH St
Terre Haute, IN 47807-4712
Mailing address
7911 Michigan Rd
Indianapolis, IN 46268-1915
Phone (901) 283-0956
Other practice location 1
300 W Oak St
Carbondale, IL 62901-1400
Phone (618) 453-8850
Other practice location 2
500 Saluki Blvd Apt 1024A
Carbondale, IL 62903-8303
Phone (901) 283-0956
Other practice location 3
7911 Michigan Rd
Indianapolis, IN 46268-1915
Phone (317) 956-6288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1194347765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7911 MICHIGAN RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681915",
"telephone_number": "901-283-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074712",
"telephone_number": "812-213-8080"
}
],
"practiceLocations": [
{
"address_1": "300 W Oak St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011400",
"country_code": "US",
"telephone_number": "618-453-8850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Saluki Blvd Apt 1024A",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629038303",
"country_code": "US",
"telephone_number": "901-283-0956",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7911 Michigan Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462681915",
"country_code": "US",
"telephone_number": "317-956-6288",
"fax_number": "317-956-6289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEMAN",
"first_name": "KARA",
"middle_name": "JORDAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-17",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003131A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.