Active NPI
Kateau Cerisme
- Prosthetist
- Orlando, FL
National Provider Identifier
1013543701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- COS705761
- Practice address
- 320 N Magnolia Ave
Orlando, FL 32801-1624 - Phone
- (954) 243-7478
- NPI assigned
- Mar 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | COS705761 | CO | Primary |
Addresses
Primary practice location
320 N Magnolia Ave
Orlando, FL 32801-1624
Mailing address
320 N Magnolia Ave
Orlando, FL 32801-1624
Phone (719) 896-9749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COS705761 | CO | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1013543701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N MAGNOLIA AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328011624",
"telephone_number": "719-896-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N MAGNOLIA AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328011624",
"telephone_number": "954-243-7478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERISME",
"first_name": "KATEAU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-13",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CO",
"license": "COS705761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.