Active NPI
Elizabeth Christal Sewell
- Psychiatric/Mental Health Nurse Practitioner
- Howard Beach, NY
National Provider Identifier
1609123041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403101
- Practice address
- 15632 76TH St # 2
Howard Beach, NY 11414-2516 - Phone
- (347) 254-9233
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337509 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403101 | NY | Primary |
Addresses
Primary practice location
15632 76TH St # 2
Howard Beach, NY 11414-2516
Mailing address
15632 76TH St # 2
Howard Beach, NY 11414-2516
Phone (347) 254-9233
Other practice location 1
1963 Rockaway Pkwy
Brooklyn, NY 11236-5505
Phone (347) 702-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F403101 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings County Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- esewell1056066@nychhc.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
- NPI 1861103251
-
- Psychiatric Hospital
- Brooklyn, NY
- NPI 1174870042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1609123041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15632 76TH ST # 2",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114142516",
"telephone_number": "347-254-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15632 76TH ST # 2",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114142516",
"telephone_number": "347-254-9233"
}
],
"practiceLocations": [
{
"address_1": "1963 Rockaway Pkwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112365505",
"country_code": "US",
"telephone_number": "347-702-0069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEWELL",
"first_name": "ELIZABETH",
"middle_name": "CHRISTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2023-03-22",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337509",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.