Active NPI
Laura Anne Freeman, CNNP
- Neonatal Nurse Practitioner
- Jackson, MS
National Provider Identifier
1497782742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- R866576
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 815-7100
- NPI assigned
- Jun 26, 2006
- Last updated
- Jun 27, 2012
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | R866576 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00127072 | Medicaid | MS |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R866576 | MS | MD | Neonatal Nurse Practitioner |
Interoperability endpoints
- lfreeman6980@ummc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1497782742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "CNNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MS",
"license": "R866576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00127072",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Catherine C Freeman, CRNA
- Erwyn E. Freeman Jr., M.D.
- John Nathanuel Freeman
- Karen S Freeman, CRNA
- Kyle Macklin Freeman
- Shelby Lynn Freeman, MD
- Robert Scott French, CFNP
- John Allen Frenz, M.D.
- Fresenius Medical Care SW Jackson Home, LLC (Fresenius Medical Care SW Jackson Home)
- Hudson Michael Frey, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.