Active NPI
Penelope Pollard, SLP
- Speech-Language Pathologist
- Kennebunk, ME
National Provider Identifier
1316180938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- ST1829
- Practice address
- 3 Brazier LN
Kennebunk, ME 04043-7095 - Phone
- (207) 985-3030
- NPI assigned
- Apr 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | ST1829 | ME | Primary |
Addresses
Primary practice location
3 Brazier LN
Kennebunk, ME 04043-7095
Mailing address
1000 Shore Rd 326
Cape Elizabeth, ME 04107-1916
Phone (207) 899-0383
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ST1829 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1316180938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SHORE RD 326",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041071916",
"telephone_number": "207-899-0383",
"fax_number": "207-518-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BRAZIER LN",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040437095",
"telephone_number": "207-985-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "PENELOPE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "ST1829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.