Individual provider Active NPI

Saron Gebreab Zere, RN

  • Registered Nurse
  • Wyoming, MN
National Provider Identifier
1194515122
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2532309 Issued in MN
Practice address
5924 Forest Boulevard TRL
Wyoming, MN 55092-8435
Phone
(612) 875-6507
NPI assigned
May 12, 2025
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2532309 MN Primary

Addresses

Primary practice location

5924 Forest Boulevard TRL
Wyoming, MN 55092-8435

Mailing address

5924 Forest Boulevard TRL
Wyoming, MN 55092-8435
Phone (612) 875-6507

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2532309MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1194515122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 FOREST BOULEVARD TRL",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928435",
            "telephone_number": "612-875-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 FOREST BOULEVARD TRL",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928435",
            "telephone_number": "612-875-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERE",
        "first_name": "SARON",
        "middle_name": "GEBREAB",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2532309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.