Ellen Lydia Sebald, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

527396 Issued in NY

Practice address

7 Candlewood LN
Stone Ridge, NY 12484-5800

Phone

(845) 687-0180

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1689801540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CANDLEWOOD LN",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845800",
            "telephone_number": "845-687-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CANDLEWOOD LN",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845800",
            "telephone_number": "845-687-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBALD",
        "first_name": "ELLEN",
        "middle_name": "LYDIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "527396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Stone Ridge, NY
• Providers in Stone Ridge, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.