Katelin Nicole Free

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

1013682 Issued in TX

Practice address

645 FM 1255
Grand Saline, TX 75140-5809

Phone

(318) 664-1964

NPI assigned

Sep 30, 2020

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1639786924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 FM 1255",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751405809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 FM 1255",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751405809",
            "telephone_number": "318-664-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREE",
        "first_name": "KATELIN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1013682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Texas Medical Center Quitman
• Ekklesia Healthcare, L.L.C.
• Sharon Evans, MSLP
• Juan Jose Fabian, PTA
• Family Medicine Rural Health Clinic
• Grand Saline I S D
• Michael Lee Green, RPH
• Greenhart
• GS Partners, LTD.
• Leta Hollis, PTA

• Licensed Vocational Nurse in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.