Individual provider Active NPI

Marilyn Ouellett, CCC-SLP

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1295284883
Registry record updated Sep 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 13618 Issued in FL
Practice address
2833 Remington Green Cir
Tallahassee, FL 32308-3752
Phone
(850) 922-8375
Fax
(850) 488-2071
NPI assigned
Sep 24, 2016
Last updated
Sep 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2016

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 SA 13618 FL Primary

Addresses

Primary practice location

2833 Remington Green Cir
Tallahassee, FL 32308-3752

Mailing address

2833 Remington Green Cir
Tallahassee, FL 32308-3752
Phone (850) 922-8375

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

LicenseStateTypeSpecialty
SA 13618FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Henry & Rilla White Youth Foundation Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1295284883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 REMINGTON GREEN CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083752",
            "telephone_number": "850-922-8375",
            "fax_number": "850-488-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 REMINGTON GREEN CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083752",
            "telephone_number": "850-922-8375",
            "fax_number": "850-488-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETT",
        "first_name": "MARILYN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 13618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.