Individual provider Active NPI

Sean Hess, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Park City, KS
National Provider Identifier
1285100388
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4037 Issued in KS
Practice address
6644 N Poston St
Park City, KS 67219-1767
Phone
(316) 518-8972
NPI assigned
Oct 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4037 KS Primary

Addresses

Primary practice location

6644 N Poston St
Park City, KS 67219-1767

Mailing address

6644 N Poston St
Park City, KS 67219-1767
Phone (316) 518-8972

Other identifiers 2

IdentifierTypeStateIssuer
14036827OtherAMERICAN SPEECH-LANGUGAE HEARING ASSOCIATION
4037OtherKSKANSAS STATE SPEECH PATHOLOGY LICENSURE

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4037KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1285100388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6644 N POSTON ST",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672191767",
            "telephone_number": "316-518-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 N POSTON ST",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672191767",
            "telephone_number": "316-518-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUGAE HEARING ASSOCIATION",
            "identifier": "14036827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE SPEECH PATHOLOGY LICENSURE",
            "identifier": "4037",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.