Active NPI
Dee Ann Freeman, APRN
- Family Nurse Practitioner
- South Point, OH
National Provider Identifier
1285671552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 07589-NP
- Practice address
- 384 County Road 120 S
South Point, OH 45680-7807 - Phone
- (740) 894-2080
- Fax
- (740) 894-5406
- NPI assigned
- Jun 2, 2006
- 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 | 3004592 | KY | |
| Family Nurse Practitioner | 363LF0000X | 07589-NP | OH | Primary |
Addresses
Primary practice location
384 County Road 120 S
South Point, OH 45680-7807
Mailing address
PO Box 1595
Attn: Anna Jones
Ashland, KY 41105-1595
Phone (606) 408-6200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2683994 | Medicaid | OH | |
| 78016649 | Medicaid | KY | |
| P00284963 | Other | KY | RR MEDICARE |
| P00752622 | Other | OH | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07589-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1285671552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"address_2": "ATTN: ANNA JONES",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051595",
"telephone_number": "606-408-6200",
"fax_number": "606-408-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 COUNTY ROAD 120 S",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456807807",
"telephone_number": "740-894-2080",
"fax_number": "740-894-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "DEE",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3004592",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "07589-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2683994",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78016649",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00284963",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00752622",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Point, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.