Active NPI
Rachel Oswald Freeman
- Family Nurse Practitioner
- Provo, UT
National Provider Identifier
1336697473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9903820-4405
- Practice address
- 3550 N University Ave
#250
Provo, UT 84604-6683 - Phone
- (801) 374-9625
- Fax
- (801) 374-9690
- NPI assigned
- Sep 19, 2016
- 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 Nurse Practitioner | 363LF0000X | 9903820-4405 | UT | Primary |
Addresses
Primary practice location
3550 N University Ave
#250
Provo, UT 84604-6683
Mailing address
124 W 2975 N
Lehi, UT 84043-3820
Phone (507) 319-5293
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1336697473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 W 2975 N",
"city": "LEHI",
"state": "UT",
"postal_code": "840433820",
"telephone_number": "507-319-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 N UNIVERSITY AVE",
"address_2": "#250",
"city": "PROVO",
"state": "UT",
"postal_code": "846046683",
"telephone_number": "801-374-9625",
"fax_number": "801-374-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "RACHEL",
"middle_name": "OSWALD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "9903820-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.