Active NPI
Elizabeth Shannon Sewell, M.ED.
- Counselor
- Marianna, FL
National Provider Identifier
1154541621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2860 Highway 71 Ste a
Marianna, FL 32446-1893 - Phone
- (850) 323-1002
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2860 Highway 71 Ste a
Marianna, FL 32446-1893
Mailing address
2860 Highway 71 Ste a
Marianna, FL 32446-1893
Other names 1
- Mrs. Elizabeth Shannon Rose
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 Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1154541621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 HIGHWAY 71 STE A",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 HIGHWAY 71 STE A",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461893",
"telephone_number": "850-323-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "ELIZABETH",
"middle_name": "SHANNON",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ROSE",
"middle_name": "SHANNON",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.