Individual provider Active NPI

Emily Diane Freeman, APRN, FNP-BC

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1285076018
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008179 Issued in KY
Practice address
9520 Ormsby Station Rd
Louisville, KY 40223-5017
Phone
(502) 426-0606
Fax
(502) 426-0604
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008179 KY
Nurse Practitioner 363L00000X 3008179 KY Primary

Addresses

Primary practice location

9520 Ormsby Station Rd
Louisville, KY 40223-5017

Mailing address

100 E Liberty St
Suite 800
Louisville, KY 40202-1434
Phone (502) 495-2400

Other identifiers 1

IdentifierTypeStateIssuer
7100278060 (KOHMG)MedicaidKY

Other names 1

  • Miss Emily Diane Ellis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130824000068 KY Practitioner - Nurse Practitioner 1153564042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

1301 Pleasant Valley Rd
Owensboro, KY 42303-9774

2211 Mayfair Dr
Owensboro, KY 42301-4569

510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900

912 Wallace Ave
Leitchfield, KY 42754-2405

PO Box
Suite 23229
Owensboro, KY 42304-3229

Hospital & facility affiliations

  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070
  • Owensboro Health Muhlenberg Community Hospital Hospital, Greenville, KY, CCN 180004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008179KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Family CurrentSince Dec 9, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 11, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 11, 2019 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
Owensboro Health Medical Group, Inc Nurse Practitioner CurrentSince Dec 9, 2019 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

9520 Ormsby Station Rd
Louisville, KY 40223
Phone (502) 426-0606

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

9520 Ormsby Station Rd
Ste 175
Louisville, KY 40223
Phone (502) 426-0606

4423 Bardstown Rd
Louisville, KY 40218
Phone (502) 495-2400

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

1301 Pleasant Valley Rd
Ste 404
Owensboro, KY 42303
Phone (270) 417-7500

2025 W Everly Brothers Blvd
#1A
Powderly, KY 42367

Interoperability endpoints

  • Direct secure messaging: efreeman100151@direct.owensborohealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1285076018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST",
            "address_2": "SUITE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "502-495-2400",
            "fax_number": "502-495-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 ORMSBY STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235017",
            "telephone_number": "502-426-0606",
            "fax_number": "502-426-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "EMILY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008179",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100278060 (KOHMG)",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ELLIS",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.