Active NPI
Katherine Lazet, DO
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.161926
- Practice address
- 1 Jefferson Barracks Rd
Saint Louis, MO 63125-4181 - Phone
- (314) 894-6505
- NPI assigned
- Jun 18, 2015
- Last updated
- Mar 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101021889 | MI | |
| Family Medicine Physician | 207Q00000X | 036.161926 | IL | Primary |
| Family Medicine Physician | 207Q00000X | 4666 | TN | |
| Family Medicine Physician | 207Q00000X | 2023040087 | MO | |
| Family Medicine Physician | 207Q00000X | 05214 | KY | |
| Family Medicine Physician | 207Q00000X | 02005302A | IN |
Addresses
Primary practice location
1 Jefferson Barracks Rd
Saint Louis, MO 63125-4181
Mailing address
2827 Russell Blvd Apt C
Saint Louis, MO 63104-2105
Other practice location 1
75 State St
Boston, MA 02109-1827
Phone (906) 869-2836
Other practice location 2
1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (906) 869-2836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1512 N Green Mount Rd
O Fallon, IL 62269-2083
Phone (618) 624-3750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.161926 | IL | MD | Family Medicine Physician |
| 02005302A | IN | MD | Family Medicine Physician |
| 05214 | KY | MD | Family Medicine Physician |
| 5101021889 | MI | MD | Family Medicine Physician |
| 2023040087 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity - Illinois Auc LLP | Current | Accepting new patients | |
| Northern Michigan Emergency Physicians, LLP | Current | Accepting new patients | |
| Vituity - Illinois Auc LLP | Current | Accepting new patients | |
| Northern Michigan Emergenc Physicians, LLP | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800
12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Effingham, IL
- NPI 1306334198
-
- Emergency Medicine Physician
- Escanaba, MI
- NPI 1417972183
-
- Emergency Medicine Physician
- Sault Sainte Marie, MI
- NPI 1922105113
-
- Emergency Medicine Physician
- O'Fallon, IL
- NPI 1487142022
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1033591789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2827 RUSSELL BLVD APT C",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631042105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JEFFERSON BARRACKS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631254181",
"telephone_number": "314-894-6505"
}
],
"practiceLocations": [
{
"address_1": "75 State St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021091827",
"country_code": "US",
"telephone_number": "906-869-2836",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1512 N Green Mount Rd",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622692083",
"country_code": "US",
"telephone_number": "906-869-2836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAZET",
"first_name": "KATHERINE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101021889",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.161926",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "4666",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2023040087",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "05214",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02005302A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.