Individual provider Active NPI

Kathleen Marie Freeman, RN

  • Community Health Registered Nurse
  • Elmsford, NY
National Provider Identifier
1952723116
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
318738 Issued in NY
Practice address
45 Knollwood Rd
Suite 200
Elmsford, NY 10523-2815
Phone
(914) 684-6064
Fax
(914) 684-6071
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 318738 NY Primary
Community Health Registered Nurse 163WC1500X RN9267039 FL

Addresses

Primary practice location

45 Knollwood Rd
Suite 200
Elmsford, NY 10523-2815

Mailing address

45 Knollwood Rd
Suite 200
Elmsford, NY 10523-2815
Phone (914) 684-6064

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9267039FLMDCommunity Health Registered Nurse
318738NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Corporate Health, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1952723116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 KNOLLWOOD RD",
            "address_2": "SUITE 200",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232815",
            "telephone_number": "914-684-6064",
            "fax_number": "914-684-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 KNOLLWOOD RD",
            "address_2": "SUITE 200",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105232815",
            "telephone_number": "914-684-6064",
            "fax_number": "914-684-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "318738",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9267039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.