Active NPI
Karen S Freeman, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R576816
- Practice address
- 2500 North State St
Jackson, MS 39216 - Phone
- (601) 984-6441
- NPI assigned
- Sep 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R576816 | MS | Primary |
Addresses
Primary practice location
2500 North State St
Jackson, MS 39216
Mailing address
2500 North State St
Jackson, MS 39216
Phone (601) 984-6441
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116012 | Medicaid | MS | |
| 430034940 | Other | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Anesthesia Consultants of Oxford, PLLC | Past | Accepting new patients | |
| Lakeland Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Nurse Practitioner
- Jackson, MS
- NPI 1699857433
Nurse Anesthetist, Certified Registered
-
- Specialist
- Oxford, MS
- NPI 1265485742
-
- Certified Registered Nurse Anesthetist
- Flowood, MS
- NPI 1053358937
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1811089428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NORTH STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-6441",
"fax_number": "601-815-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "KAREN",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R576816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116012",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430034940",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.