Active NPI
Kristin Garner Freeman, M.D.
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1316382906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q4114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| Q4114 | TX | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.