Kathryn Anne Cerami, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Albuquerque, NM
NPI 1003605924 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1003605924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- RS2025-0130 (NM)
- Practice address
- 1 University of New Mexico
Albuquerque, NM 87131-0001 - Phone
- (979) 492-0011
- NPI assigned
- May 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250522001991 | NM | Order and Referring Only - Psychiatry |
1153840160 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2025-0130 | NM | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2025-0130 | NM | Yes |
Addresses
Primary practice location
1 University of New Mexico
Albuquerque, NM 87131-0001
Mailing address
Msc08 4720 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (979) 492-0011
Other providers in Albuquerque, NM
- Centerwell Certified Healthcare Corp.
- Centracare Wellness & Psychiatric Services LLC
- Central Region Educational Cooperative
- Central Region Educational Cooperative
- Centro Savila LLC
- Luis Mariano Cerda
- Cerebral Solutions Counseling LLC
- Cheri Marie Cerghizan
- Felix Cerna
- Cleo Ann Cerno
All providers in Albuquerque, NM · Student in an Organized Health Care Education/Training Program in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.