Mary Louise Severin, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

470410293 Issued in MI

Practice address

3200 W Liberty Rd Ste a
Ann Arbor, MI 48103-9794

Phone

(734) 417-5233

Fax

(734) 994-4322

NPI assigned

Mar 6, 2025

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

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7128/brand/1/csg/1/fhir/r4

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

• Liberty Pediatrics PLLC

  • Pediatrics Physician
  • Ann Arbor, MI
  • NPI 1568633253

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1871391540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 ARGONNE",
            "city": "GREGORY",
            "state": "MI",
            "postal_code": "481379650",
            "telephone_number": "734-417-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039794",
            "telephone_number": "734-417-5233",
            "fax_number": "734-994-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERIN",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MI",
            "license": "470410293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosh Kumar Viasha Sethi, MD
• Seema Sethi, M.D.
• Leann Seto
• Rhonda Leigh Setser, RN BSN
• Susan Marie Sevek, NP
• Charone Sexton, NP
• Minden B Sexton, PH.D.
• Callie Seybert, PA-C
• Lisa Sou Seyfried, MD
• SFD Psychological Services

• Pediatric Registered Nurse in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Pediatric Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.