Individual provider Active NPI

Kerri Anne Dembowske, D.O.

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1497927032
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14307 Issued in FL
Practice address
2520 SE Federal Hwy
Stuart, FL 34994-4533
Phone
(772) 288-4911
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS14307 FL Primary

Addresses

Primary practice location

2520 SE Federal Hwy
Stuart, FL 34994-4533

Mailing address

2520 SE Federal Hwy
Stuart, FL 34994-4533
Phone (772) 288-4911

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS14307FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kasmith-DO PLLC Family Medicine Current Accepting new patients

Locations

2520 SE Federal Hwy
Stuart, FL 34994
Phone (772) 288-0976

Interoperability endpoints

  • Direct secure messaging: kerri.dembowske@hca4.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1497927032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944533",
            "telephone_number": "772-288-4911",
            "fax_number": "772-288-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944533",
            "telephone_number": "772-288-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBOWSKE",
        "first_name": "KERRI",
        "middle_name": "ANNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.