Individual provider Active NPI

Serena Dawn Joslin, L.P.A.

  • Health Service Psychologist
  • Hendersonville, NC
National Provider Identifier
1093922247
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
3396 Issued in NC
Practice address
170 Old Naples Rd
Hendersonville, NC 28792-8600
Phone
(828) 684-4228
Fax
(828) 681-1764
NPI assigned
May 17, 2007
Last updated
May 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 3396 NC Primary

Addresses

Primary practice location

170 Old Naples Rd
Hendersonville, NC 28792-8600

Mailing address

170 Old Naples Rd
Hendersonville, NC 28792-8600
Phone (828) 505-2273

Other identifiers 1

IdentifierTypeStateIssuer
6107494MedicaidNC

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1093922247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 OLD NAPLES RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287928600",
            "telephone_number": "828-505-2273",
            "fax_number": "828-681-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 OLD NAPLES RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287928600",
            "telephone_number": "828-684-4228",
            "fax_number": "828-681-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSLIN",
        "first_name": "SERENA",
        "middle_name": "DAWN",
        "credential": "L.P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "3396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107494",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.