Active NPI
Marlene Ovellette
- Speech-Language Pathologist
- Bath, ME
National Provider Identifier
1083920953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0006
- Practice address
- 39 Andrews Rd
Bath, ME 04530-2156 - Phone
- (207) 443-6601
- Fax
- (207) 443-8295
- NPI assigned
- Aug 30, 2010
- Last updated
- Aug 30, 2010
- Sex
- Female
- 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 | 0006 | ME | Primary |
Addresses
Primary practice location
39 Andrews Rd
Bath, ME 04530-2156
Mailing address
39 Andrews Rd
Bath, ME 04530-2156
Phone (207) 443-6601
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 |
|---|---|---|---|
| 0006 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bath Public Schools | Past | Accepting new patients | |
| Regional School Unit 1 | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Bath, ME
- NPI 1053531897
-
- Local Education Agency (LEA)
- Bath, ME
- NPI 1164666863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1083920953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 ANDREWS RD",
"city": "BATH",
"state": "ME",
"postal_code": "045302156",
"telephone_number": "207-443-6601",
"fax_number": "207-443-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 ANDREWS RD",
"city": "BATH",
"state": "ME",
"postal_code": "045302156",
"telephone_number": "207-443-6601",
"fax_number": "207-443-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVELLETTE",
"first_name": "MARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "0006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.