Individual provider Active NPI

Sable Kerzmann, RN

  • Registered Nurse
  • Lame Deer, MT
National Provider Identifier
1386048585
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
MT-75130 Issued in MT
Practice address
100 Cheyeene Ave
Lame Deer, MT 59043-0070
Phone
(406) 477-4400
NPI assigned
Oct 16, 2014
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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 MT-75130 MT Primary

Addresses

Primary practice location

100 Cheyeene Ave
Lame Deer, MT 59043-0070

Mailing address

100 Cheyeene Ave
P.O Box 70
Lame Deer, MT 59043-0070
Phone (406) 477-4400

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
MT-75130MTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1386048585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHEYEENE AVE",
            "address_2": "P.O BOX 70",
            "city": "LAME DEER",
            "state": "MT",
            "postal_code": "590430070",
            "telephone_number": "406-477-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHEYEENE AVE",
            "city": "LAME DEER",
            "state": "MT",
            "postal_code": "590430070",
            "telephone_number": "406-477-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERZMANN",
        "first_name": "SABLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "MT-75130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lame Deer, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.