Casey Jean Segarra, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L69657-9 Issued in MN

Practice address

500 3Rd Ave SE
Suite 2
Pine City, MN 55063

Phone

(320) 629-6674

Fax

(320) 629-6630

NPI assigned

Dec 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Supports Programming Services LLC

  • Home Health Agency
  • Pine City, MN
  • NPI 1346486099
  NPD (past)
• Community Supports Programming Services LLC

  • Home Health Agency
  • Pine City, MN
  • NPI 1629226949
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1467721654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 3RD AVE SE",
            "address_2": "SUITE 2",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "55063",
            "telephone_number": "320-629-6674",
            "fax_number": "320-629-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 3RD AVE SE",
            "address_2": "SUITE 2",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "55063",
            "telephone_number": "320-629-6674",
            "fax_number": "320-629-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARRA",
        "first_name": "CASEY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L69657-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Psychiatric Consulting Services LLC
• Teri Lynn Schilling, MSW
• Joan Marie Schroeder, LICSW
• Breanna Schwalbe
• Samantha Lee Schwieger
• Selah Wellness Clinic LLC
• Shopko Stores Operating Co LLC (Shopko Pharmacy 518)
• Silver Linings Home Health Care LLC
• Gretchen Blaufuss Skalicky, D.C.
• Shelley Ann Skarda, B.S. LADC

• Licensed Practical Nurse in Pine City, MN
• Providers in Pine City, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.