Active NPI
Melissa J Friesen, MS, FNP-BC
- Family Nurse Practitioner
- Huber Heights, OH
National Provider Identifier
1457685083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.11033-NP
- Practice address
- 8501 Old Troy Pike
Huber Heights, OH 45424-1054 - Phone
- (937) 236-0290
- Fax
- (937) 237-0519
- NPI assigned
- Sep 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.11033-NP | OH | Primary |
Addresses
Primary practice location
8501 Old Troy Pike
Huber Heights, OH 45424-1054
Mailing address
8501 Old Troy Pike
Huber Heights, OH 45424-1054
Phone (937) 236-0290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.11033-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1457685083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8501 OLD TROY PIKE",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241054",
"telephone_number": "937-236-0290",
"fax_number": "937-237-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 OLD TROY PIKE",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241054",
"telephone_number": "937-236-0290",
"fax_number": "937-237-0519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESEN",
"first_name": "MELISSA",
"middle_name": "J",
"credential": "MS, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.11033-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.