Active NPI
Natalie Sewell, M.S. CCC-SLP
- Speech-Language Pathologist
- Allen, TX
National Provider Identifier
1124509005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 110522
- Practice address
- 310 S Jupiter Rd
Allen, TX 75002-3039 - Phone
- (972) 727-5850
- Fax
- (972) 727-5625
- NPI assigned
- Aug 28, 2018
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 110522 | TX | Primary |
Addresses
Primary practice location
310 S Jupiter Rd
Allen, TX 75002-3039
Mailing address
5511 Crestwood Dr
Prosper, TX 75078-5621
Phone (469) 714-5225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110522 | Other | TX | SPEECH-LANGUAGE PATHOLOGY STATE LICENSE |
| 12138620 | Other | TX | ASHA |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110522 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1124509005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5511 CRESTWOOD DR",
"city": "PROSPER",
"state": "TX",
"postal_code": "750785621",
"telephone_number": "469-714-5225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S JUPITER RD",
"city": "ALLEN",
"state": "TX",
"postal_code": "750023039",
"telephone_number": "972-727-5850",
"fax_number": "972-727-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "NATALIE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "110522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGY STATE LICENSE",
"identifier": "110522",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12138620",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.