Active NPI
Emily Diane Freeman, APRN, FNP-BC
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3008179
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100278060 (KOHMG) | Medicaid | KY |
Other names 1
- Miss Emily Diane Ellis
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Owensboro Health Twin Lakes Medical Center
- Owensboro Health Muhlenberg Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008179 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Family | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Owensboro Health Medical Group, Inc | Nurse Practitioner | Current | 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
- 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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY, Nurse Practitioner
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Nurse Practitioner
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Family Medicine Physician
- Louisville, KY
- NPI 1386910917
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.