Organization Active NPI

Freedom Integrated Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1558102418
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
FREEDOM INTEGRATED WELLNESS, LLC
Practice address
17500 N Perimeter Dr # 110
Scottsdale, AZ 85255-7800
Phone
(480) 900-6950
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Sue Esho
Title
Authorized Official
Phone
(480) 900-6950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

17500 N Perimeter Dr # 110
Scottsdale, AZ 85255-7800

Mailing address

17500 N Perimeter Dr # 110
Scottsdale, AZ 85255-7800
Phone (480) 900-6950

National Provider Directory

National Provider Directory

Locations

17500 N Perimeter Dr
#110
Scottsdale, AZ 85255
Phone (480) 900-6950

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1558102418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR # 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-900-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR # 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-900-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM INTEGRATED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "ESHO",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-900-6950"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.