Freddie N. Kojima, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

14675 Issued in TN

Practice address

129 Frank L Diggs Dr
Clinton, TN 37716-6953

Phone

(865) 647-3320

Fax

(865) 647-3329

NPI assigned

Jul 23, 2010

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Knoxville Hma Cardiology PPM, LLC

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1275811713
  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1437462033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FRANK L DIGGS DR",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166953",
            "telephone_number": "865-647-3320",
            "fax_number": "865-647-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FRANK L DIGGS DR",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377166953",
            "telephone_number": "865-647-3320",
            "fax_number": "865-647-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOJIMA",
        "first_name": "FREDDIE",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "14675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Knight, B.A.
• Rhiannon Knight
• Kaylee Knoernschild, RBT
• Aleah Knudson
• Mary Kochman, DO
• Courtney Koontz
• Brenda Charlene Kuziak, CNA
• Ray Neil Labelle, OD
• Brianne Lantz, APRN, FNP-C
• Lisa Marie Lay

• Adult Health Nurse Practitioner in Clinton, TN
• Providers in Clinton, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.