Melissa Colleen Frazier-Gaitan, FNP- BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021047918 Issued in MO

Practice address

425 N New Ballas Rd Ste 107
Saint Louis, MO 63141-6845

Phone

(314) 432-2592

NPI assigned

Nov 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1760149082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N NEW BALLAS RD STE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N NEW BALLAS RD STE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416845",
            "telephone_number": "314-432-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER-GAITAN",
        "first_name": "MELISSA",
        "middle_name": "COLLEEN",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "2008016142",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021047918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Frauenfelder, LPC
• Tyler Jacob Fraum, MD
• Frederick Web Fraunfelder, M.D.
• Aaron M. Frazer, CRNA
• Frazier Home Healthcare
• Debra A Frazier, CRNA
• Denitra J Frazier
• Indya Serrae Frazier
• Isla B Frazier, MSW, LMSW
• Koach Baruch Frazier, AU.D.

• Family Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, 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 Dec 1, 2021; 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.