Sara C Gozdecki, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2025023501 Issued in MO

Practice address

2315 Technology Dr
O Fallon, MO 63368-7370

Phone

(636) 265-0377

NPI assigned

Aug 20, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1255218095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 WILLOWSHADE CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763852",
            "telephone_number": "314-623-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 TECHNOLOGY DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687370",
            "telephone_number": "636-265-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZDECKI",
        "first_name": "SARA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025023501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Anthony Gordon
• Samantha Gorham
• Ranjita Gosain
• Natalie Gough, LCSW
• Bradly Gould, DC
• John Ellington Graham III, MA, MSED
• Tina Kathleen Graham, PLPC
• Grant Ventures LLC
• David Dupriest Grant, LCSW
• Rebecca Graue, PT, DPT

• Family Nurse Practitioner in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.