Freedom Lounge PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FREEDOM LOUNGE PLLC

Practice address

209 E Baseline Rd Ste E107
Tempe, AZ 85283-1299

Phone

(480) 531-5973

Fax

(480) 542-8173

NPI assigned

Apr 28, 2020

Organization subpart

No

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

Authorized official

Name

George Michael Wickham

Title

General Partner

Phone

(480) 531-5973

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Louise Barnes, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1265654206
  NPD

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1275154585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E BASELINE RD STE E107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831299",
            "telephone_number": "480-531-5973",
            "fax_number": "480-542-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E BASELINE RD STE E107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831299",
            "telephone_number": "480-531-5973",
            "fax_number": "480-542-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM LOUNGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "WICKHAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "480-531-5973"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Franzmeier
• Christopher Frederick, PT
• Lynn G Fredes
• Alison Fredricks
• Freedom and the Seed, LLC
• Christine Lee Freeman, RN
• Ramona Freeman
• Troy Allyn Freiheit, D.C.
• Halyna Lubov Freishyn-Chirovsky, RN, BSN, BED
• Brian French

• Psychiatric/Mental Health Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.