MRS. NATASHA BROOKE FRESENBURG (NPI# 1780020495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780020495 |
| Entity Type | Individual |
| Full Name | MRS. NATASHA BROOKE FRESENBURG |
| Other Name | MISS NATASHA B NELSON |
| Credential | PA |
| Practice Address |
20 Progress Point Pkwy Ste 108 O Fallon MO 63368-2207 |
| Practice Telephone | 6363442400 |
| Mailing Telephone | 6363442400 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2015008258 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3635 Vista Ave, Desloge Towers, 1st Floor, Saint Louis, MO 631102539 | 3145778784 |
| Street Address |
20 PROGRESS POINT PKWY STE 108 |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194923151 | Laura L Hill | Nurse Practitioner | 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368-2207 | 2007-07-10 |
| 1629506522 | Daniel Martin Weisel | Family Medicine | 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368-2207 | 2017-05-23 |
| 1861873077 | Caitlin Sue Rogers | Family Medicine | 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 | 2015-06-12 |
| 1295155000 | Genevieve Catherine Matthews | Internal Medicine | 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368-2207 | 2014-04-18 |
| 1710240221 | Devin Bell | Family Medicine | 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368-2207 | 2012-06-19 |
| 1144502253 | Gloria Michelle Paul Edacheril | Nurse Practitioner | 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787272 | Madeline Kruper | Physician Assistant | 975 Emge Rd, O Fallon, MO 63366-2122 | 2020-03-28 |
| 1457854630 | Hallie Ann France | Physician Assistant | Three Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | 2018-03-14 |
| 1902293004 | Casey Wegener | Physician Assistant | 7136 S Outer 364, O Fallon, MO 63368-7756 | 2015-04-16 |
| 1922284504 | Candace Donyusha Charles | Physician Assistant | 4965 Stone Falls Ctr Ste 7, O Fallon, IL 62269-7803 | 2008-01-14 |
| 1902916851 | Tina Ann Cloin | Physician Assistant | 310 N 7 Hills Rd Ste 220, O Fallon, IL 62269-4111 | 2006-08-30 |
| 1063034783 | Regency Mark Medical Group LLC | Physician Assistant | 124 Regency Park Ste 7, O Fallon, IL 62269-1994 | 2020-05-15 |
| 1558906750 | Nicole Dawn Brueggemann | Physician Assistant | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-11-12 |
| 1295378610 | Kody Alan Hindman | Physician Assistant | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | 2019-10-18 |
| 1912548587 | Adela Redzic | Physician Assistant | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-10-03 |
| 1962973982 | Kelsey Koenig | Physician Assistant | 310 N 7 Hills Rd Ste 220, O Fallon, IL 62269-4111 | 2018-12-17 |
| Find all providers in O FALLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.