Active NPI
Maryland Farms Pediatrics
- Specialist
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16962
- Legal business name
- MARYLAND FARMS PEDIATRICS
- Practice address
- 5056 Thoroughbred Lane
Brentwood, TN 37027 - Phone
- (615) 373-3337
- Fax
- (615) 373-3782
- NPI assigned
- Dec 15, 2011
- Last updated
- Dec 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Ann Freeman, MD
- Title
- Pediatrician
- Phone
- (615) 373-3337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31436 | TN | |
| Specialist | 174400000X | 33870 | TN | |
| Specialist | 174400000X | 16962 | TN | Primary |
Addresses
Primary practice location
5056 Thoroughbred Lane
Brentwood, TN 37027
Mailing address
5056 Thoroughbred Lane
Brentwood, TN 37027
Phone (615) 373-3337
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730154493 | Other | TN | NPI |
| 1710952189 | Other | TN | NPI |
| 1366416075 | Other | TN | NPI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0712815 | Maryland Farms Pediatrics | Certificate of waiver | Mar 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
5056 Thoroughbred Ln
Brentwood, TN 37027
Phone (615) 373-3337
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Brentwood, TN
- NPI 1710952189
-
- Pediatrics Physician
- Brentwood, TN
- NPI 1366416075
-
- Pediatrics Physician
- Brentwood, TN
- NPI 1508501099
-
- Pediatrics Physician
- Brentwood, TN
- NPI 1952667537
-
- Pediatrics Physician
- Brentwood, TN
- NPI 1811253636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323907200000",
"number": "1285903567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5056 THOROUGHBRED LANE",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "37027",
"telephone_number": "615-373-3337",
"fax_number": "615-373-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5056 THOROUGHBRED LANE",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "37027",
"telephone_number": "615-373-3337",
"fax_number": "615-373-3782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND FARMS PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PEDIATRICIAN",
"authorized_official_telephone_number": "615-373-3337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "31436",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "33870",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "16962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1730154493",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1710952189",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1366416075",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.