Individual provider Active NPI

Jeannie Frances Sorell, M.A. C.C.C.

  • Speech-Language Pathologist
  • Katonah, NY
National Provider Identifier
1356576235
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003420 Issued in NY
Practice address
47 Lakeside Dr
Katonah, NY 10536-1609
Phone
(914) 232-1842
NPI assigned
May 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2009

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 003420 NY Primary

Addresses

Primary practice location

47 Lakeside Dr
Katonah, NY 10536-1609

Mailing address

47 Lakeside Dr
Katonah, NY 10536-1609
Phone (914) 232-1842

Other names 1

  • Jeannie Frances Mignone Former 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
003420NYMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1356576235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LAKESIDE DR",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361609",
            "telephone_number": "914-232-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 LAKESIDE DR",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361609",
            "telephone_number": "914-232-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORELL",
        "first_name": "JEANNIE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "M.A. C.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "MIGNONE",
            "middle_name": "FRANCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.