Active NPI
Joan Louise Friedman, AGNP
- Gerontology Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2023012582
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (844) 735-4710
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2023012582 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 2023012582 | MO | |
| Primary Care Nurse Practitioner | 363LP2300X | 2023012582 | MO | |
| Gerontology Nurse Practitioner | 363LG0600X | 2023012582 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (844) 735-4710
Other practice location 1
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (844) 735-4710
Other names 1
- Joan Louise Elgin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 McLaran Ave
Saint Louis, MO 63147-1606
Phone (314) 388-4121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current | Accepting new patients | |
| Karefirst Missouri PC | Nurse Practitioner | Current | Accepting new patients |
Locations
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
1265 McLaran Ave
Saint Louis, MO 63147
Phone (314) 388-4121
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Saint Peters, MO
- NPI 1942658943
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1104603828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "844-735-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "844-735-4710"
}
],
"practiceLocations": [
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "844-735-4710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "JOAN",
"middle_name": "LOUISE",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2023012582",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2023012582",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "2023012582",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2023012582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "ELGIN",
"middle_name": "LOUISE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.