Individual provider Active NPI

Evelyn Barbara Sell, MS,CCC-A

  • Audiologist
  • Hammond, IN
National Provider Identifier
1689893059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002365A Issued in IN
Practice address
5454 S Hohman Ave
Audiology Dept 1St Floor
Hammond, IN 46320-1931
Phone
(219) 933-2299
Fax
(219) 933-2158
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002365A IN Primary

Addresses

Primary practice location

5454 S Hohman Ave
Audiology Dept 1St Floor
Hammond, IN 46320-1931

Mailing address

209 Leicester Rd
Munster, IN 46321-9145
Phone (219) 924-1470

Other identifiers 1

IdentifierTypeStateIssuer
23002365AOtherINAUDIOLOGY

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 Science

State licenses

LicenseStateTypeSpecialty
23002365AINMDAudiologist

Interoperability endpoints

  • Direct secure messaging: esell57063@direct.franciscanalliance.org

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689893059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LEICESTER RD",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463219145",
            "telephone_number": "219-924-1470",
            "fax_number": "219-933-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 S HOHMAN AVE",
            "address_2": "AUDIOLOGY DEPT 1ST FLOOR",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-933-2299",
            "fax_number": "219-933-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELL",
        "first_name": "EVELYN",
        "middle_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002365A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY",
            "identifier": "23002365A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.