Provider Demographics
NPI:1023192879
Name:FREEMAN, KATHERINE D (NP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:D
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 E HAMPDEN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2794
Mailing Address - Country:US
Mailing Address - Phone:303-788-7700
Mailing Address - Fax:303-788-8982
Practice Address - Street 1:499 E HAMPDEN AVE STE 400
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113
Practice Address - Country:US
Practice Address - Phone:303-788-8989
Practice Address - Fax:303-788-8982
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96455363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO64676234Medicaid
CO64676234Medicaid
CO529378Medicare PIN