Ashley Kell Frederic, FNP-BC
Individual provider Active NPI Nurse Practitioner · Frontenac, MO
NPI 1346894052 · NPPES record last updated Jul 31, 2019
Key facts
- NPI
- 1346894052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2017024417 (MO)
- Practice address
- 607 S Lindbergh Blvd
Frontenac, MO 63131-2734 - Phone
- (314) 991-5438
- NPI assigned
- Jul 31, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017024417 | MO | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2017024417 | MO | Yes |
Addresses
Primary practice location
607 S Lindbergh Blvd
Frontenac, MO 63131-2734
Mailing address
9332 Pine Ave
Saint Louis, MO 63144-1008
Phone (314) 803-4712
Other providers in Frontenac, MO
- Julie Bergfeld
- Megan Brusca
- City of Frontenac
- Trenton Parker Civello
- Donald Respess, PSYD, LLC
- Frontenac Ambulatory Surgery & Spine Care Center LP
- Gateway Pain Center Inc
- Darcy Greenberg
- Mark Louis Greenberg
- Danielle Marie Hargate
All providers in Frontenac, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.