Jennifer Lynn Sewell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C02764 Issued in AR

Practice address

4600 Towson Ave
101-W2
Fort Smith, AR 72901-7961

Phone

(501) 364-1100

NPI assigned

Apr 13, 2009

Last updated

Jul 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer Lynn Thomas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1760625305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 TOWSON AVE",
            "address_2": "101-W2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017961",
            "telephone_number": "501-364-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 TOWSON AVE",
            "address_2": "101-W2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017961",
            "telephone_number": "501-364-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C02764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "THOMAS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Seubold Chiropractic Clinic PLLC
• Henry Lind Seubold, DC
• Joshua Donald Seubold, D.C.
• Cyril E Severns, MD
• Emma Sewell, DPT
• Muhammad Usman Shahbaz
• Ghazia Shamim, MBBS
• Joseph Edward Shamp, BE BOCO, LPOA
• Rocky Lee Shankle, LMT
• Samantha Joann Shankle, APRN

• Certified Registered Nurse Anesthetist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.