Physician Compare National (NPI:1932548062)

HEALTHCARE PROVIDER: KERRI LEA HAZIRI APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932548062
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921242330
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130924000739
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEYMOUR
	Individual professional last name
Provider First Name	KERRI
	Individual professional first name
Provider Middle Name	LEA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	805 SE WASHINGTON ST
	Group Practice or individual's line 1 address
City	IDABEL
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	747453331
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	371342
	Medicare CCN of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y