Active NPI
Katie Michelle Seleznev, NP-C
- Nurse Practitioner
- Providence, RI
National Provider Identifier
1982123808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN01682
- Practice address
- 208 Collyer St
Providence, RI 02904-1560 - Phone
- (401) 793-2960
- NPI assigned
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN01682 | RI | Primary |
Addresses
Primary practice location
208 Collyer St
Providence, RI 02904-1560
Mailing address
149 Brewster Rd
West Hartford, CT 06117-2102
Phone (860) 559-1633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN01682 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Miriam Hospital | Nurse Practitioner | Current | Accepting new patients |
| The Miriam Hospital | Current | Accepting new patients |
Locations
208 Collyer St
Providence, RI 02904
Phone (401) 421-4200
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931
208 Collyer St
Ste 300
Providence, RI 02904
Phone (401) 793-2960
Organizations & group practices 2
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.
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1982123808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 BREWSTER RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172102",
"telephone_number": "860-559-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLLYER ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029041560",
"telephone_number": "401-793-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELEZNEV",
"first_name": "KATIE",
"middle_name": "MICHELLE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "APRN01682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.