Individual provider Active NPI

Joy Dianne Sewell, MA CCC SLP

  • Speech-Language Pathologist
  • Kenton, OH
National Provider Identifier
1295074789
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 5818 Issued in OH
Practice address
117 Jacob Parrot Rd
Kenton, OH 43326-9506
Phone
(419) 674-4197
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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 SP 5818 OH Primary

Addresses

Primary practice location

117 Jacob Parrot Rd
Kenton, OH 43326-9506

Mailing address

117 Jacob Parrot Rd
Kenton, OH 43326-9506
Phone (419) 674-4197

Other names 1

  • Mrs. Dianne Sewell Other name

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 Arts

State licenses

LicenseStateTypeSpecialty
SP 5818OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1295074789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 JACOB PARROT RD",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433269506",
            "telephone_number": "419-674-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 JACOB PARROT RD",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433269506",
            "telephone_number": "419-674-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "JOY",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 5818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "SEWELL",
            "prefix": "MRS.",
            "credential": "MA CCC SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.