Active NPI
Lera Susan Kasseroler, GNP
- Psychiatric/Mental Health Nurse Practitioner
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP113576
- Practice address
- 2750 S 8TH St
Beaumont, TX 77701-7719 - Phone
- (409) 839-1000
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Psychosomatic Medicine Physician
- Beaumont, TX
- NPI 1942401617
-
- Specialist
- Beaumont, TX
- NPI 1841488145
-
- Mental Health Counselor
- Beaumont, TX
- NPI 1467517656
-
- Interventional Pain Medicine Physician
- Nederland, TX
- NPI 1316623481
-
- Primary Care Nurse Practitioner
- Vidor, TX
- NPI 1376937003
-
- Emergency Medicine Physician
- Winnie, TX
- NPI 1548395213
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050510001144 | TX | Practitioner - Nurse Practitioner | 8820038730 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winnie Community Hospital, L.L.C. | Current | Accepting new patients | |
| Winnie Community Hospital LLC | Current | Accepting new patients | |
| Qamar U Arfeen MD PA | Current | Accepting new patients | |
| Spindletop MHMR Services | Current | Accepting new patients | |
| Winnie Community Hospital, L.L.C. | Current | Accepting new patients | |
| Spindletop MHMR Services | Gerontology | Current | Accepting new patients |
| Edward B Gripon MD PA | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Past | Accepting new patients |
Locations
2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203
3406 College St
#200
Beaumont, TX 77701
Phone (409) 813-2332
3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022
3406 College St
#100
Beaumont, TX 77701
Phone (409) 622-1424
3406 College St
Ste 100
Beaumont, TX 77701
3560 Delaware St
Ste 502
Beaumont, TX 77706
Phone (409) 899-4472
1305 S Main St
Jasper, TX 75951
Phone (409) 489-1100
2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321
2400 Highway 365
Ste 112
Nederland, TX 77627
Phone (409) 724-7900
538 Broadway
Winnie, TX 77665
Phone (409) 296-6000
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 532657 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP113576 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2750 S 8TH St
Beaumont, TX 77701-7719
Mailing address
7777 E Boardwalk
Lumberton, TX 77657-4901
Phone (409) 719-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2015.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1821032665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 E BOARDWALK",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776574901",
"telephone_number": "409-719-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S 8TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777017719",
"telephone_number": "409-839-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSEROLER",
"first_name": "LERA",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "532657",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP113576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.