MR. EDWARD JIM VREDENBURGH III RN
NPI 1841741030
Nurse Practitioner - Family in Saint Louis, MO

Q: What is Edward Vredenburgh's NPI number?

The NPI number for Edward Vredenburgh is 1841741030. It was assigned to this individual provider in the NPPES registry on October 22, 2016.

Q: What is Edward Vredenburgh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 22, 2016

11133 DUNN RD, SAINT LOUIS, MO 63136(314) 653-5000 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2021, Oct 22, 2016 (2 updates tracked since 2016).

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About Mr. Edward Jim Vredenburgh Iii Rn NPPES

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

MR. EDWARD JIM VREDENBURGH III RN (NPI 1841741030) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2018037132) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1841741030

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. EDWARD JIM VREDENBURGH IIICredential: RN

Location Address11133 DUNN RDSaint Louis, MO 63136-6163

Mailing Address11133 Dunn RdSaint Louis, MO 63136-6163 · (314) 653-5000

Phone(314) 653-5000

Sole ProprietorYes

Enumeration DateOctober 22, 2016

Last NPPES UpdateJune 28, 20232 updates tracked since enumeration

NPPES CertifiedJune 28, 2023

✔ NPI 1841741030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2018037132

Also ListedRegistered NurseTaxonomy 163W00000X · License 2001004428 (MO)

11133 DUNN RD, Saint Louis, MO 63136

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ALEXANDER SEXTRO CAA

Anesthesiologist Assistant

11133 DUNN RD
SAINT LOUIS, MO 63136

St. Louis County (314) 653-5000

DR. HILTON I PRICE MD

Radiology (Diagnostic Radiology)

11133 DUNN RD, DEPT RADIOLOGY
SAINT LOUIS, MO 63136

St. Louis County (314) 362-7200

LESLEY ANN HANSON D.O.

Internal Medicine (Critical Care Medicine)

11133 DUNN RD
SAINT LOUIS, MO 63136

St. Louis County (314) 317-0600

MARY A. RUDLOFF M.D.

Pathology (Anatomic Pathology)

11133 DUNN RD, DEPT. OF PATHOLOGY
SAINT LOUIS, MO 63136

St. Louis County (314) 653-5630

ELYSHA M KACHEVAS

Nurse Practitioner (Family)

11133 DUNN RD, SUITE 2335
SAINT LOUIS, MO 63136

St. Louis County (314) 653-5007

DR. GRACE ELIZABETH MONTES MD

Emergency Medicine

11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136

St. Louis County (314) 362-9123

MS. CHRISTIE MARIE KEEN FNP

Nurse Practitioner

11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136

St. Louis County (314) 362-9123

CHRISTIAN HOSPITAL NORTHEAST

Psychiatric Unit

11133 DUNN RD
SAINT LOUIS, MO 63136

St. Louis County (314) 653-5582

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 Edward Vredenburgh's NPI number?

The NPI number for Edward Vredenburgh is 1841741030. It was assigned to this individual provider in the NPPES registry on October 22, 2016.

Where is Edward Vredenburgh located?

Edward Vredenburgh practices at 11133 Dunn Rd, Saint Louis, MO 63136. The listed phone number is (314) 653-5000.

What is Edward Vredenburgh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Edward Vredenburgh was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.