CHRISTIN FRIEDERICH (NPI# 1114300381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114300381 |
Entity Type | Individual |
Full Name | CHRISTIN FRIEDERICH |
Credential | WHNP-BC |
Practice Address |
2016 Vadalabene Dr Ste B Maryville IL 62062-6901 |
Practice Telephone | 6182882970 |
Practice Fax Number | 6182883572 |
Mailing Telephone | 6182882987 |
Mailing Fax Number | 6182883572 |
Enumeration Date | 2015-07-06 |
Last Update Date | 2019-11-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209012321 | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | CONTROLLED SUBSTANCE LICENSE NUMBER | 309014755 | 01 |
IL | STATE LICENSE NUMBER | 209012321 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1031 Bellevue Ave, Ste 400, Saint Louis, MO 631171818 | 3149777455 |
Street Address |
2016 VADALABENE DR STE B |
City | MARYVILLE |
State | IL |
Zip Code | 62062-6901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
Find all providers in zip 62062 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982883807 | Melissa Dawn Lewis-beeler | Nurse Practitioner | 270 Blount Memorial Hospital-pob, Maryville, TN 37804 | 2007-10-27 |
1386675783 | Judy D Frueh | Nurse Practitioner | 800 University Dr, Maryville, MO 64468-6015 | 2006-07-05 |
1710940184 | Amy Denise Jones | Nurse Practitioner | 417 E Lamar Alexander Pkwy, Maryville, TN 37804-5807 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
Find all providers with the same taxonomy |
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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.