Individual provider Active NPI

Brittani Elyssia Freeman, WHNP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1861027526
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
257854 Issued in AZ
Practice address
9930 W Indian School Rd
Phoenix, AZ 85037-5902
Phone
(623) 846-7558
Fax
(623) 846-1674
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X RN194258 AZ
Nurse Practitioner 363L00000X 257854 AZ Primary

Addresses

Primary practice location

9930 W Indian School Rd
Phoenix, AZ 85037-5902

Mailing address

9930 W Indian School Rd
Phoenix, AZ 85037-5902
Phone (623) 846-7558

Other practice location 1

23127 N 91st Dr
Peoria, AZ 85383-4286
Phone (209) 597-1843

Other names 1

  • Mrs. Brittani Freeman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214001109 AZ Practitioner - Nurse Practitioner 7517357155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
257854AZMDNurse Practitioner
RN194258AZMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Jan 31, 2022 Accepting new patients
Arizona OB/GYN Affiliates PC Past Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

35 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 846-7558

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brittani.freeman.1@14294.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1861027526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375902",
            "telephone_number": "623-846-7558",
            "fax_number": "623-846-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375902",
            "telephone_number": "623-846-7558",
            "fax_number": "623-846-1674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23127 N 91st Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853834286",
            "country_code": "US",
            "telephone_number": "209-597-1843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "BRITTANI",
        "middle_name": "ELYSSIA",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "AZ",
            "license": "RN194258",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "257854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANI",
            "last_name": "FREEMAN",
            "prefix": "MRS.",
            "credential": "WHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.