Fredonia Enterprises PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FREDONIA ENTERPRISES PLLC

Doing business as

Heartland Integrative Medicine

Practice address

302 Broadway St
Mount Vernon, IL 62864-5116

Phone

(618) 204-2897

Fax

(618) 242-7674

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

David A Milano, FNPNPI 1376226530

Title

Owner

Phone

(618) 204-2897

Specialties & licenses 1

Addresses

Other names 1

• Heartland Integrative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Adam Milano, FNP

  • Family Nurse Practitioner
  • Mount Vernon, IL
  • NPI 1376226530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1710730718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640052",
            "telephone_number": "618-204-2897",
            "fax_number": "618-242-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645116",
            "telephone_number": "618-204-2897",
            "fax_number": "618-242-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDONIA ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "MILANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-204-2897",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa K. Ford, MSW
• Christie Foster, M.D.
• Melissa Brynn Frank, MSW, LSW
• Douglas Elner Frankel, M.D.
• Franklin Harrison DO
• Angela Freehill, MD
• Alan L Froehling, MD
• Allison Anne Frost, FNP-C
• Kendra Kay Fry
• Janna Rachel Fulkerson, PT, DPT

• Family Nurse Practitioner in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.