Individual provider Active NPI

Sarah Lauren Kersevich, ARNP

  • Pediatric Nurse Practitioner
  • Muscatine, IA
National Provider Identifier
1942543467
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C112927 Issued in IA
Practice address
1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone
(563) 262-4115
Fax
(563) 264-0166
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C112927 IA Primary

Addresses

Primary practice location

1518 Mulberry Ave
Muscatine, IA 52761-3433

Mailing address

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 262-4115

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

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1942543467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-262-4115",
            "fax_number": "563-264-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-262-4115",
            "fax_number": "563-264-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEVICH",
        "first_name": "SARAH",
        "middle_name": "LAUREN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C112927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.