Individual provider Active NPI

Kassidy Ann Freestone, RN

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1881569614
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223675 Issued in AZ
Practice address
2680 S Val Vista Dr Ste 147
Gilbert, AZ 85295-1636
Phone
(480) 276-1427
NPI assigned
Oct 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 223675 AZ Primary

Addresses

Primary practice location

2680 S Val Vista Dr Ste 147
Gilbert, AZ 85295-1636

Mailing address

9233 E Neville Ave Unit 1140
Mesa, AZ 85209-1514
Phone (480) 276-1427

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
I20260424001936 AZ Practitioner - Nurse Practitioner 5092282293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22823 E Watford Dr
Queen Creek, AZ 85142-1762

2680 S Val Vista Dr
Suite 147
Gilbert, AZ 85295-1606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223675AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Health and Wellness LLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21206/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1881569614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 E NEVILLE AVE UNIT 1140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091514",
            "telephone_number": "480-276-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 147",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951636",
            "telephone_number": "480-276-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESTONE",
        "first_name": "KASSIDY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.