Individual provider Active NPI

Katherine Lazet, DO

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1033591789
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.161926 Issued in IL
Practice address
1 Jefferson Barracks Rd
Saint Louis, MO 63125-4181
Phone
(314) 894-6505
NPI assigned
Jun 18, 2015
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171108002289 MI Practitioner - Family Practice 5698084135 Reassigns benefits to 1 organization
I20220929002111 IL Practitioner - Family Practice 5698084135 Reassigns benefits to 1 organization

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
Vituity - Illinois Auc LLPGroup PAC ID 0547516932, 35 clinicians

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

LicenseStateTypeSpecialty
036.161926ILMDFamily Medicine Physician
02005302AINMDFamily Medicine Physician
05214KYMDFamily Medicine Physician
5101021889MIMDFamily Medicine Physician
2023040087MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity - Illinois Auc LLP Current Accepting new patients
Northern Michigan Emergency Physicians, LLP CurrentSince Oct 7, 2017 Accepting new patients
Vituity - Illinois Auc LLP CurrentSince Sep 15, 2022 Accepting new patients
Northern Michigan Emergenc Physicians, LLP CurrentSince Oct 7, 2017 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.