MS. YURI EDNA FREEMAN (NPI# 1588662696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588662696 |
Entity Type | Individual |
Full Name | MS. YURI EDNA FREEMAN |
Other Name | MS. YURI EDNA JOHNSON |
Credential | MA |
Practice Address |
350 City View Dr Ste 206 Evanston WY 82930-5326 |
Practice Telephone | 3077897915 |
Mailing Telephone | 3077897915 |
Mailing Fax Number | 3077783944 |
Enumeration Date | 2005-07-12 |
Last Update Date | 2019-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC 928 | WY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | BS | 313171 | 01 |
Street Address |
350 CITY VIEW DR STE 206 |
City | EVANSTON |
State | WY |
Zip Code | 82930-5326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932758570 | Gena Caldwel | Case Manager/Care Coordinator | 350 City View Dr Ste 206, Evanston, WY 82930-5326 | 2019-09-06 |
1538657465 | Nicholas Clark | Licensed Practical Nurse | 350 City View Dr Ste 206, Evanston, WY 82930 | 2018-04-26 |
1205346590 | Tyler Smathers | Case Manager/Care Coordinator | 350 City View Dr Ste 206, Evanston, WY 82930-5326 | 2017-10-02 |
1295273498 | Mindee Marler | Social Worker | 350 City View Dr Ste 206, Evanston, WY 82930-5326 | 2017-02-08 |
1245774421 | Parvanae Pentico | Community Health Worker | 350 City View Dr Ste 206, Evanston, WY 82930-5326 | 2016-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
Find all providers in zip 82930 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
1114538329 | Peggy Rubenstein | Counselor | 826 Judson Ave Apt 3, Evanston, IL 60202-2462 | 2020-08-11 |
1831708304 | Alison Toback, Lcpc | Counselor | 708 Church St Ste 221, Evanston, IL 60201-3840 | 2020-07-30 |
1306466644 | Hedy Helfand | Counselor | 211 Dewey Ave, Evanston, IL 60202-3713 | 2020-04-16 |
1912532672 | Lora Slutsky | Counselor | 2020 Dempster St, Evanston, IL 60202-1017 | 2020-03-03 |
1740813021 | Shairee Lackey | Counselor | 1206 Pitner Ave, Evanston, IL 60202-1049 | 2020-02-15 |
1013568989 | Peter Agostino | Counselor | 1327 Ashland Ave Apt 1, Evanston, IL 60201-6805 | 2019-09-23 |
1891357356 | Amy Owen Counseling LLC | Counselor | 708 Church St Ste 219, Evanston, IL 60201-3881 | 2019-07-05 |
1265906028 | Monica Isaac | Counselor | 708 Church St Ste 217, Evanston, IL 60201-3881 | 2019-01-15 |
1801366364 | Kaitlyn Whitebread | Counselor | 726 Hinman Ave Apt 2e, Evanston, IL 60202-2570 | 2018-11-27 |
Find all providers in EVANSTON |
Please comment or provide details below to improve the information on MS. YURI EDNA FREEMAN.
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.