Active NPI
Johnna L Freeman, ARNP
- Neonatal Nurse Practitioner
- Independence, MO
National Provider Identifier
1538254198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 45376
- Practice address
- 19600 E 39TH St S
Independence, MO 64057-2301 - Phone
- (816) 698-8153
- Fax
- (816) 698-8165
- NPI assigned
- Oct 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9781 | WI | |
| Neonatal Nurse Practitioner | 363LN0000X | 45376 | KS | Primary |
Addresses
Primary practice location
19600 E 39TH St S
Independence, MO 64057-2301
Mailing address
19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 698-8153
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100095801 | Medicaid | WI | |
| 460580 | Other | KS | FIRSTGUARD |
| 161237 | Other | KS | BCBS OF KANSAS |
| 200252060A | Medicaid | KS |
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 |
|---|---|---|---|
| 45376 | KS | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1538254198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19600 E 39TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572301",
"telephone_number": "816-698-8153",
"fax_number": "816-698-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19600 E 39TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572301",
"telephone_number": "816-698-8153",
"fax_number": "816-698-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JOHNNA",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "9781",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "KS",
"license": "45376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100095801",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "460580",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS",
"identifier": "161237",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200252060A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.