SANDRA RAE FREEMAN


Address: 3635 W Brown St, Phoenix, AZ 85051-1338
Phone: 6025954042

SANDRA RAE FREEMAN (NPI# 1639223779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639223779
Entity Type Individual
Full Name SANDRA RAE FREEMAN
Practice Address 3635 W Brown St
Phoenix
AZ 85051-1338
Practice Telephone 6025954042
Mailing Telephone 6025954042
Enumeration Date 2007-01-23
Last Update Date 2007-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist 10665 AZ Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 979924 05

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1851837603 Sandra Aionette Freeman Counselor 1041 45th St, West Palm Beach, FL 33407-2402 2017-01-17
1346584976 Sandra G Whitehead Freeman Nurse Practitioner 3000 Medical Park Dr Ste 500, Tampa, FL 33613-6600 2012-11-20

Office Location

Street Address 3635 W BROWN ST
City PHOENIX
State AZ
Zip Code 85051-1338

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Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447494182 Rozlane Denese Wells Day Training/Habilitation Specialist 6233 S 15th Dr, Phoenix, AZ 85041-5516 2009-04-24
1235283359 Milka Granic Day Training/Habilitation Specialist 4108 W Stella Ln, Phoenix, AZ 85019-1449 2007-01-23
1679627756 Annette Lane Day Training/Habilitation Specialist 10943 W. Coolidge, Phoenix, AZ 85037-7532 2007-01-23
1316508518 Imagine Care LLC Day Training/Habilitation Specialist 11811 N Tatum Blvd Ste 3031, Phoenix, AZ 85028-1621 2019-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669072161 Kellie L Cardoza Day Training/Habilitation Specialist 6148 W Frier Dr, Glendale, AZ 85301-1223 2020-10-26
1811595531 Lester Neal Day Training/Habilitation Specialist 1221 W Chicago St, Chandler, AZ 85224-5230 2020-10-14
1033731344 Bartu C Gray Day Training/Habilitation Specialist 5205 W Thunderbird Rd Apt 2174, Glendale, AZ 85306-4859 2020-05-08
1043688336 Felicia D Adams Day Training/Habilitation Specialist 1074 E. Press Rd, San Tan Valley, AZ 85140 2015-09-03
1083930283 Zena Anne Kimbrell Day Training/Habilitation Specialist 13522 Main Street, Mayer, AZ 86333 2010-04-13
1871819441 Diane Murphy Day Training/Habilitation Specialist 7840 E Buena Vista Dr, Prescott Valley, AZ 86314-5531 2010-04-07
1255655676 Debbie Lynn Smith Day Training/Habilitation Specialist 15005 W Piana Trl, Surprise, AZ 85374-4454 2010-03-15
1629277066 Beth-ann Green-stoltzner Day Training/Habilitation Specialist 8497 W. Concordia Dr, Rehabilitation Department, Arizona City, AZ 85123-2211 2007-07-16
1629122726 Kristine Wullenweber Day Training/Habilitation Specialist 11380 N Onika Ln, Flagstaff, AZ 86004-5547 2007-01-23
1427102672 Dranette Burke Day Training/Habilitation Specialist 6531 W Vogel Ave, Glendale, AZ 85302-2817 2007-01-23
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Competitor

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City PHOENIX
Zip Code 85051

Improve Information

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Dataset Information

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.

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