Individual provider Active NPI

Kristin Garner Freeman, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1316382906
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q4114 Issued in TX
Practice address
5450 Clearfork Main St Ste 460
Fort Worth, TX 76109-3560
Phone
(817) 423-5121
Fax
(817) 423-5122
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q4114 TX Primary

Addresses

Primary practice location

5450 Clearfork Main St Ste 460
Fort Worth, TX 76109-3560

Mailing address

5450 Clearfork Main St Ste 460
Fort Worth, TX 76109-3560
Phone (817) 423-5121

Other practice location 1

1926 SW Green Oaks Blvd
Arlington, TX 76017-2735
Phone (817) 472-5522

Other practice location 2

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-7150

Other practice location 3

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 22, 2024 through Feb 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q4114TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1316382906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 460",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093560",
            "telephone_number": "817-423-5121",
            "fax_number": "817-423-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 460",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093560",
            "telephone_number": "817-423-5121",
            "fax_number": "817-423-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1926 SW Green Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760172735",
            "country_code": "US",
            "telephone_number": "817-472-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-702-7150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 783",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KRISTIN",
        "middle_name": "GARNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q4114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.