Carol Lynn Freeman, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

191103 Issued in WI

Practice address

1060 County Road QQ
12
Waupaca, WI 54981-8621

Phone

(715) 942-2067

NPI assigned

Jul 23, 2012

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1457606741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 COUNTY ROAD QQ",
            "address_2": "12",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549818621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 COUNTY ROAD QQ",
            "address_2": "12",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549818621",
            "telephone_number": "715-942-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "191103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis D Ford, MD
• Forefront Dermatology, S.C.
• Alyssa Rose Forslin
• Fox Valley Hematology & Oncology, S.C.
• Becky L Franz, M.S. CCC-A
• Alison Wismer Fries, PHD
• Nancy Fugate, P.T.
• Sandra Mary Gallow, LPC LICENSED PROFESS
• Renee Gardner, REGISTERED NURSE
• Daniel L. Gauerke, O.D.

• Registered Nurse in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.