JOANNE ALETHA FREEMAN (NPI# 1053302778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053302778 |
| Entity Type | Individual |
| Full Name | JOANNE ALETHA FREEMAN |
| Other Name | JODI ALETHA FREEMAN |
| Credential | C.P.N.P. |
| Practice Address |
784 14th Ave Longview WA 98632-2315 |
| Practice Telephone | 3604256111 |
| Practice Fax Number | 3606361297 |
| Mailing Telephone | 3604256111 |
| Mailing Fax Number | 3606361297 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN00120002 | WA | Nursing Service Providers |
| X | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP30003667 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9615436 | 05 | |
| WA | WA LABOR & INDUSTRIES | 129607 | 01 |
| OR | 036033 | 05 |
| Street Address |
784 14TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083605778 | Daryl William Linnell | Pediatrics | 784 14th Ave, Longview, WA 98632-2315 | 2005-11-02 |
| 1750851846 | Irene Mudehwe | Nurse Practitioner | 784 14th Ave, Longview, WA 98632-2315 | 2018-11-30 |
| 1467940486 | Jeb Bolerjack | Counselor | 784 14th Ave, Longview, WA 98632-2315 | 2018-04-25 |
| 1619418159 | Megan Minthorn | Registered Nurse | 784 14th Ave, Longview, WA 98632-2315 | 2017-03-16 |
| 1962876748 | Cowlitz Family Health Center | Clinic/Center | 784 14th Ave, Longview, WA 98632-2315 | 2015-11-17 |
| 1821340530 | Seth Mercurio | Nurse Practitioner | 784 14th Ave, Longview, WA 98632-2315 | 2012-10-04 |
| 1538357223 | Faith Ann Wilfley | Pediatrics | 784 14th Ave, Longview, WA 98632-2315 | 2007-10-09 |
| 1639287188 | Pediatric Clinic, Inc., P.s. | Clinic/Center | 784 14th Ave, Longview, WA 98632-2315 | 2006-08-25 |
| 1043238033 | Jan Carlin Khouri | Nurse Practitioner | 784 14th Ave, Longview, WA 98632-2315 | 2006-07-17 |
| 1538147764 | Forrest G Mcgriff | Nurse Practitioner | 784 14th Ave, Longview, WA 98632-2315 | 2006-01-06 |
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|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
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| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
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|---|---|---|---|---|
| 1689155749 | Anita Jo Gibson | Registered Nurse | 2755 Quail Ln, Longview, TX 75602-7469 | 2018-08-27 |
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|---|---|---|---|---|
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| 1528577285 | Scott Skoglund | Registered Nurse | 144 Nw 80th St, Seattle, WA 98117-3052 | 2017-09-26 |
| 1982148748 | Lynette Sapp | Registered Nurse | 13923 Ash Way, Lynnwood, WA 98087-2014 | 2016-12-14 |
| 1477959187 | Mary Hoffman | Registered Nurse | 26211 72nd Ave Nw, Stanwood, WA 98292-6301 | 2014-11-06 |
| 1740610799 | Colleen Devney Woolsey | Registered Nurse | 13001 42nd Ave Ne, Seattle, WA 98125-4624 | 2013-11-12 |
| 1982905188 | Sally Starke Townend | Registered Nurse | 8011 Ne 100th Cir, Vancouver, WA 98662-1349 | 2010-11-04 |
| 1831705136 | Rahma Shukri Jama-grupp | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-22 |
| 1508470592 | Hallie Kurtz | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-07 |
| 1699389692 | Kaylie Danelle Peterson | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-07 |
| 1558975326 | Alice Gail Schukin | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-08-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.