Active NPI
Katie Marie Frillman, CRNA
- Certified Registered Nurse Anesthetist
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2002015463
- Practice address
- 901 E 5TH St
Washington, MO 63090-3127 - Phone
- (636) 239-8301
- NPI assigned
- Feb 19, 2008
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2002015463 | MO | Primary |
Addresses
Primary practice location
901 E 5TH St
Washington, MO 63090-3127
Mailing address
339 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 386-9224
Other practice location 1
615 S New Ballas Rd Dept Of
Saint Louis, MO 63141-8221
Phone (636) 386-9224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497923874 | Medicaid | MO | |
| P00651225 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 E 5TH St
Deptartment of Anesthesiology
Washington, MO 63090-3127
Phone (636) 239-4100
Hospital & facility affiliations
- Mercy Hospital Washington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Anesthesiology Associates, Inc. | Current | Accepting new patients | |
| Eye Anesthesia LLC | Current | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Past | Accepting new patients |
Locations
339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222
12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
901 Patients First Dr
Ste 108
Washington, MO 63090
Phone (636) 390-1715
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1275646754
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1528334182
-
- Rural Health Clinic/Center
- Cuba, MO
- NPI 1396827408
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1497923874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 CONSORT DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114439",
"telephone_number": "636-386-9224",
"fax_number": "636-386-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 5TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903127",
"telephone_number": "636-239-8301"
}
],
"practiceLocations": [
{
"address_1": "615 S New Ballas Rd Dept Of",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "636-386-9224",
"fax_number": "636-200-4243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRILLMAN",
"first_name": "KATIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2002015463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497923874",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00651225",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.