Kevin Wayne Freeman, CRNFA, RNFA

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN098085 Issued in AZ

Practice address

4500 E Speedway Blvd
Suite 60
Tucson, AZ 85712-5303

Phone

(520) 318-6039

Fax

(520) 320-0081

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona First Assistants

  • Medical-Surgical Clinical Nurse Specialist
  • Tucson, AZ
  • NPI 1104926914
  NPD (past)
• Tucson Vein Institute LLC

  • Specialist
  • Tucson, AZ
  • NPI 1255402038
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1649370776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42123",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857332123",
            "telephone_number": "520-318-6039",
            "fax_number": "520-320-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E SPEEDWAY BLVD",
            "address_2": "SUITE 60",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125303",
            "telephone_number": "520-318-6039",
            "fax_number": "520-320-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CRNFA, RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN098085",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "985962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554403 01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freedom Behavior Consulting
• Freedom Behavior Consulting LLC
• Freedom Manor, Inc. (Freedom Manor - Cody's House)
• Alexa Freeman
• Erika Diane Freeman
• Marlene P Freeman, MD
• Matthew Freeman, DNP, MPH
• Rebecca Freeman, CNM
• Trent Alan Freeman, DC, ND
• Mosab Abdulbaset Frefer, MD

• Medical-Surgical Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Medical-Surgical Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.