Kristina Marie Guerette

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2169 Issued in ME

Practice address

163 Silver St
Waterville, ME 04901-5813

Phone

(207) 877-2498

Fax

(207) 877-7459

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By 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

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1225387368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROBINSON ST",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049371127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015813",
            "telephone_number": "207-877-2498",
            "fax_number": "207-877-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERETTE",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Gregory, PERSONAL SUPPORTS
• Hannah Grenier
• Patricia A. Grenier, LCSW
• Margaret B Griffin, M.D.
• Laurie Guay, LCPC-C
• Amy Lynn Gurney, PTA
• Christina Dee Gurney, P.T.
• Susan Marie Gurney, FNP
• H.E.L.P. Mental Health and Substance Abuse Services, LLC
• Hillary Haase

• Speech-Language Pathologist in Waterville, ME
• Providers in Waterville, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.