Micayla Kathleen Freehan, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1026164 Issued in TX

Practice address

1009 Dawson St
Waco, TX 76704-1913

Phone

(508) 523-7695

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1427716331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 DAWSON ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767041913",
            "telephone_number": "508-523-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 DAWSON ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767041913",
            "telephone_number": "508-523-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEHAN",
        "first_name": "MICAYLA",
        "middle_name": "KATHLEEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1026164",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "1026164",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95221700",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1026164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Allen Franklin, NP-C
• Stephanie Michelle Franklin, LMFT, LCDC
• Roxanne Nicole Fratus, LPC
• Steven A Frawley, CRNA
• Jeremy Frazier, DPT
• Olivia Rae Freeman, OTR
• William Jacob French, FNP
• Laura Brown Freund, RN
• Amanda Faye Frey, LCSW
• Maria Concepcion Frias

• Pediatric Nurse Practitioner in Waco, TX
• Providers in Waco, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.