Active NPI
Jackson Daniel Sell
- Speech-Language Pathologist
- Blue Springs, MO
National Provider Identifier
1962235994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2024034297
- Practice address
- 111 NE Roanoke Dr
Blue Springs, MO 64014-1305 - Phone
- (816) 874-3690
- NPI assigned
- Aug 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2024034297 | MO | Primary |
Addresses
Primary practice location
111 NE Roanoke Dr
Blue Springs, MO 64014-1305
Mailing address
660 E 63Rd St
Kansas City, MO 64110-3332
Phone (816) 812-3879
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024034297 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1962235994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 E 63RD ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641103332",
"telephone_number": "816-812-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NE ROANOKE DR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640141305",
"telephone_number": "816-874-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELL",
"first_name": "JACKSON",
"middle_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2024034297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
- Abigail Seitz
- Elson F Seitz, M.D.
- Select Physical Therapy of Blue Springs Limited Partnership
- Select Physical Therapy of Blue Springs Limited Partnership
- Angela R Sell
- Serafini Medical, P.C.
- Ghaison Frank Serafini, D.O.
- Serc Rehabilitation Partners LLC
- Serc Rehabilitation Partners LLC
- Serc Rehabilitation Partners, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.