Freedom Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FREEDOM PRIMARY CARE LLC

Practice address

17500 N Perimeter Dr # 135
Scottsdale, AZ 85255-7800

Phone

(480) 535-6300

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Diana Sheehan

Title

Authorized Official

Phone

(480) 535-6300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Freedom Primary Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Primary Care LLC

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1043186794
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Freedom Primary Care LLC

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1043186794
  NPPES parent name

Practitioners 4

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

• Amanda Marie Callahan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1770196271
  Medicare reassignment NPD
• Cristina Rose Etienne, P.A.

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1023695525
  Medicare reassignment NPD
• Luis F Lozano, PA

  • Physician Assistant
  • Green Valley, AZ
  • NPI 1477172336
  Medicare reassignment NPD
• Steven Mark Siwek, MD

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1932204435
  NPD (past)

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1942024914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR # 135",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR # 135",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-535-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-535-6300"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom Integrated Wellness, LLC
• Freedom Lab LLC
• Freedom Neurology LLC
• Freedom Pain Network LLC
• Freedom Personal Injury Care LLC
• Freedom Primary Care Pi LLC
• Freedom Spine LLC
• Freedom Surgery Center LLC
• Freedom Surgical Center
• Deirdre Demaris Freeman-Khairallah, FNP-C

• Primary Care Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.