Kristen Nicole Seery, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

CLP03966 Issued in RI

Practice address

593 Eddy St
Providence, RI 02903-4923

Phone

(954) 871-3725

NPI assigned

Aug 24, 2017

Last updated

Aug 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1790202364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GOFF AVE UNIT 8203",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "954-871-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEERY",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "CLP03966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Lynn Secreto, CRNA
• Cayla Yuavanee Sedani, MD
• Ivona Sediva, MD
• Seeds of Change Coaching and Wellness LLC
• Allison K Seelig, NP
• Thomas J Seery, MD
• Adwoa Owusuaa Sefah, MD
• Kathryn Rose Segal, MD
• Kenneth M Segal, D.P.M.
• Lacey Segal

• Surgery Physician in Providence, RI
• Providers in Providence, RI by specialty
• Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.