Individual provider Active NPI

Ashley K Sellwood, M.S CCC-SLP

  • Speech-Language Pathologist
  • Lino Lakes, MN
National Provider Identifier
1891120028
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9165 Issued in MN
Practice address
6776 Lake Dr Ste 220
Lino Lakes, MN 55014-1192
Phone
(651) 784-7007
Fax
(651) 784-7992
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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 9165 MN Primary

Addresses

Primary practice location

6776 Lake Dr Ste 220
Lino Lakes, MN 55014-1192

Mailing address

6776 Lake Dr Ste 220
Lino Lakes, MN 55014-1192
Phone (651) 784-7007

Other names 1

  • Ashley K Sienkiewicz 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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Occupational Therapy, LLC CurrentSince Oct 30, 2015 Accepting new patients

Locations

6776 Lake Dr
Ste 220
Lino Lakes, MN 55014
Phone (651) 784-7007

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1891120028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR STE 220",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141192",
            "telephone_number": "651-784-7007",
            "fax_number": "651-784-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR STE 220",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141192",
            "telephone_number": "651-784-7007",
            "fax_number": "651-784-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLWOOD",
        "first_name": "ASHLEY",
        "middle_name": "K",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SIENKIEWICZ",
            "middle_name": "K",
            "credential": "M.S- SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lino Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.