Individual provider Active NPI

Paulette Faye Freeman, GNP

  • Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1265679492
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP117471 Issued in TX
Practice address
5402 S Staples St Ste 103
Corpus Christi, TX 78411-4656
Phone
(361) 980-1299
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 648539 TX
Nurse Practitioner 363L00000X AP117471 TX Primary

Addresses

Primary practice location

5402 S Staples St Ste 103
Corpus Christi, TX 78411-4656

Mailing address

5402 S Staples St Ste 103
Corpus Christi, TX 78411-4656
Phone (361) 980-1299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090707000472 TX Practitioner - Nurse Practitioner 5193876902 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP117471TXMDNurse Practitioner
648539TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Associates Professional Association CurrentSince Sep 4, 2019 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Franklin Urgent Care Center LP Current Accepting new patients
Vpa of Texas PLLC CurrentSince Nov 9, 2015 Accepting new patients
Vpa of Texas PLLC CurrentSince Nov 9, 2015 Accepting new patients
Franklin Clinic LP Current Accepting new patients
Fred E Griffiths Past Accepting new patients
House Call Doctors Texas PLLC Nurse Practitioner Past Accepting new patients
Geriatric Associates of America-Texas, PLLC Gerontology Past Accepting new patients
Geriatric Associates of America, P.a. Gerontology PastSince Feb 28, 2005 Accepting new patients

Locations

5402 S Staples St
Ste 103
Corpus Christi, TX 78411
Phone (361) 888-5301

723 Hill Country Dr
Ste C
Kerrville, TX 78028
Phone (830) 792-5800

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHBIAD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1265679492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 S STAPLES ST STE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114656",
            "telephone_number": "361-980-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 S STAPLES ST STE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114656",
            "telephone_number": "361-980-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "PAULETTE",
        "middle_name": "FAYE",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "648539",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP117471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.