Individual provider Active NPI

Ekaterina Semernina

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1033709910
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86043015 Issued in NY
Practice address
2617 E 17TH St Apt 4F
Brooklyn, NY 11235-3833
Phone
(347) 749-2903
NPI assigned
Jan 25, 2021
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86043015 NY Primary

Addresses

Primary practice location

2617 E 17TH St Apt 4F
Brooklyn, NY 11235-3833

Mailing address

2617 E 17TH St Apt 4F
Brooklyn, NY 11235-3833
Phone (347) 749-2903

Other names 1

  • Ekaterina Semernina Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927002294 NY Practitioner - Registered Dietitian Or Nutrition Professional 3577960095 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86043015NYMDRegistered Dietitian
010606NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Buzz Medical, P.C. CurrentSince Oct 16, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Gordon Schectman Medical, LLC Past Accepting new patients

Locations

2952 Brighton 3rd St
Ste 401
Brooklyn, NY 11235
Phone (718) 675-3833

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1033709910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 E 17TH ST APT 4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353833",
            "telephone_number": "347-749-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E 17TH ST APT 4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353833",
            "telephone_number": "347-749-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMERNINA",
        "first_name": "EKATERINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86043015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EKATERINA",
            "last_name": "SEMERNINA",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.