NPIMap

Organization Active NPI

Freedom Healthcare LLC

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1831465855
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
601 Issued in NE
Legal business name
FREEDOM HEALTHCARE LLC
Practice address
4500 S 70TH St
Suite 116
Lincoln, NE 68516-4283
Phone
(402) 934-8255
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Esmeralda Pena
Title
Office Manager
Phone
(402) 817-6850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 601 NE Primary

Addresses

Primary practice location

4500 S 70TH St
Suite 116
Lincoln, NE 68516-4283

Mailing address

4500 S 70TH St
Suite 116
Lincoln, NE 68516-4283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1831465855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 70TH ST",
            "address_2": "SUITE 116",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S 70TH ST",
            "address_2": "SUITE 116",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164283",
            "telephone_number": "402-934-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ESMERALDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-817-6850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.