NPIMap

Organization Active NPI

Freedom Healthcare, LLC

  • General Practice Physician
  • Sandy, UT
National Provider Identifier
1770916306
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7465201-1204 Issued in UT
Legal business name
FREEDOM HEALTHCARE, LLC
Practice address
8899 S 700 E
Ste 250
Sandy, UT 84070
Phone
(801) 613-2711
NPI assigned
Aug 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Jeffrey Nelson, DONPI 1619961315
Title
Owner
Phone
(801) 946-0294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 7465201-1204 UT Primary

Addresses

Primary practice location

8899 S 700 E
Ste 250
Sandy, UT 84070

Mailing address

8899 S 700 E
Ste 250
Sandy, UT 84070-1810

Other practice location 1

1448 N 2000 W Ste 11
Clinton, UT 84015-8388
Phone (801) 825-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131016000638 UT Part B Supplier - Clinic/Group Practice 7416181953 Receives reassigned benefits from 4 practitioners
Practice locations: Sandy, UT; Layton, UT; South Ogden, UT

National Provider Directory

National Provider Directory

Locations

3080 N 1700 E
Ste B
Layton, UT 84040
Phone (801) 825-6597

8899 S 700 E
Ste 250
Sandy, UT 84070
Phone (801) 613-2711

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1770916306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 S 700 E",
            "address_2": "STE 250",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 S 700 E",
            "address_2": "STE 250",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84070",
            "telephone_number": "801-613-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1448 N 2000 W Ste 11",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "UT",
            "postal_code": "840158388",
            "country_code": "US",
            "telephone_number": "801-825-6597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-946-0294",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "UT",
            "license": "7465201-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.