Individual provider Active NPI

Joan C. Seidel, MA, BSN, RN, CIC

  • Administrator Registered Nurse
  • Kent, OH
National Provider Identifier
1073205639
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN207963 Issued in OH
Practice address
201 E Erie St
Kent, OH 44240-3633
Phone
(330) 678-8109
Fax
(330) 678-2820
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN207963 OH Primary

Addresses

Primary practice location

201 E Erie St
Kent, OH 44240-3633

Mailing address

201 E Erie St
Kent, OH 44240-3633
Phone (330) 678-8109

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN207963OHMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1073205639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ERIE ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403633",
            "telephone_number": "330-678-8109",
            "fax_number": "330-678-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ERIE ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403633",
            "telephone_number": "330-678-8109",
            "fax_number": "330-678-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "JOAN",
        "middle_name": "C.",
        "name_prefix": "Miss",
        "credential": "MA, BSN, RN, CIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "RN207963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.