Noelle Maree Sernett, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A1.61086651 Issued in WA

Practice address

3165 Willow Pointe Dr
Richland, WA 99354-2614

Phone

(509) 551-3082

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1962042325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 WILLOW POINTE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542614",
            "telephone_number": "509-551-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 WILLOW POINTE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542614",
            "telephone_number": "509-551-3082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 Rosecrans St Apt 15",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921062283",
            "country_code": "US",
            "telephone_number": "509-551-3082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNETT",
        "first_name": "NOELLE",
        "middle_name": "MAREE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A1.61086651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Scott, SUDPT
• Mary Lynn Scovazzo, M.D.
• Nicole Lynn Searl, MHA, BSN, RN, AMB-BC
• Kathryn Selby, CBT
• Lori Serle, LMHC
• Katie Lynn Seward, LBA, BCBA
• Shatabdi Shabnam, MD
• Annaliese Shafer, COTA
• Christine Shaffer, M.S. CCC-SLP
• Jinesh Shah, MD

• Athletic Trainer in Richland, WA
• Providers in Richland, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.