Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Afsaneh Rezaeizadeh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902589062

Afsaneh Rezaeizadeh is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Texas.

Years since qualifying
3
Licensed in
MO, TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2055 Craigshire Dr Ste 410
Saint Louis, MO 63146-4012
Phone: (314) 228-3633
Fax: (314) 949-8843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2025053306 (MO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 1129729 (TX)

Record details

NPI number1902589062
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Louis