Active NPI
Katie L Seremet, NP
- Nurse Practitioner
- Eden Prairie, MN
National Provider Identifier
1144534140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 154499
- Practice address
- 6452 City West Pkwy
Eden Prairie, MN 55344-3245 - Phone
- (952) 999-0333
- Fax
- (952) 300-2558
- NPI assigned
- Aug 2, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 154499 | WI | Primary |
Addresses
Primary practice location
6452 City West Pkwy
Eden Prairie, MN 55344-3245
Mailing address
6452 City West Pkwy
Eden Prairie, MN 55344-3245
Phone (952) 999-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144534140 | Medicaid | WI |
Other names 1
- Katie L Dubois
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154499 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426982400000",
"number": "1144534140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6452 CITY WEST PKWY",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443245",
"telephone_number": "952-999-0333",
"fax_number": "952-300-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6452 CITY WEST PKWY",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443245",
"telephone_number": "952-999-0333",
"fax_number": "952-300-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEREMET",
"first_name": "KATIE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2015-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "154499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144534140",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "DUBOIS",
"middle_name": "L",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.