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AVERY FREDMAN BA
NPI 1386590784
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 09, 2026
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 691-3049 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2026, Mar 9, 2026 (2 updates tracked since 2026).

About Avery Fredman Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY FREDMAN BA (NPI 1386590784) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1386590784
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAVERY FREDMANCredential: BA
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1201 S Grand BlvdSaint Louis, MO 63104-1016 · (314) 257-8000
Phone(314) 691-3049
Sole ProprietorNo
Enumeration DateMarch 9, 2026
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1386590784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1201 S GRAND BLVD, Saint Louis, MO 63104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODI WALSH A-GNP-C
Nurse Practitioner (Adult Health)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8849
MEHRDAD JOHN SEHI MD
Radiology (Diagnostic Radiology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-2170
DOUG LONGO APRN
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
JANET M LUDWIG APRN-BC
Clinical Nurse Specialist (Medical-Surgical)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4740
SHAWN MYUNGKI KIM DO
Internal Medicine (Pulmonary Disease)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6190
LAURA MICHLER NP
Nurse Practitioner (Gerontology)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (312) 257-8000
MATTHEW JAMES BUHR ADULT NP
Nurse Practitioner (Adult Health)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000
ANGELA STRUEMPH ACNP
Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 257-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Fredman's NPI number?

The NPI number for Avery Fredman is 1386590784. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Avery Fredman located?

Avery Fredman practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 691-3049.

What is Avery Fredman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Avery Fredman was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.