Individual provider Active NPI

Simone Patricia Freeman, LPN

  • Licensed Practical Nurse
  • New York, NY
National Provider Identifier
1356031322
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
268060 Issued in NY
Practice address
2191 3Rd Ave
New York, NY 10035-3520
Phone
(212) 987-3023
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 268060 NY Primary

Addresses

Primary practice location

2191 3Rd Ave
New York, NY 10035-3520

Mailing address

2191 3Rd Ave
New York, NY 10035-3520
Phone (212) 987-3023

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
268060NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Startcare, Inc. CurrentSince May 14, 2023 Accepting new patients
Startcare, Inc. PastSince May 14, 2023 Accepting new patients

Locations

2191 3rd Ave
New York, NY 10035
Phone (212) 348-5650

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1356031322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353520",
            "telephone_number": "212-987-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353520",
            "telephone_number": "212-987-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "SIMONE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "268060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.