Kristyn Sequeira, M.S

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14043930 Issued in RI

Practice address

215 Ferris Ave
Rumford, RI 02916-1033

Phone

(401) 432-9940

NPI assigned

Jul 25, 2016

Last updated

Jul 25, 2016By 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

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Wolf School

  • Developmentally Disabled Services Day Training Agency
  • Rumford, RI
  • NPI 1316074685
  NPD (past)

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1891248951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MARLAINE DR",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027712602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FERRIS AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161033",
            "telephone_number": "401-432-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUEIRA",
        "first_name": "KRISTYN",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "14043930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Jeanne Ruggieri, PT, LATC, CSCS
• Rumford Dental, Inc.
• Maegan A Russo, BA, RBT
• Safe Nest Therapy and Consultation
• Vincent Joseph Seccareccia III, DVM
• Shaghalian Family Dental, LLC
• Walter Raymond Shaghalian
• Chantal Aimee Shea, LICSW
• Oren Shtayermman
• Dawn E Souza, LPN

• Speech-Language Pathologist in Rumford, RI
• Providers in Rumford, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.