Active NPI
Brenna Ouellette, M.S. CCC-SLP
- Speech-Language Pathologist
- Central Falls, RI
National Provider Identifier
1316401540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP00462-P
- Practice address
- 21 Lincoln Ave
Central Falls, RI 02863-2012 - Phone
- (401) 722-9998
- NPI assigned
- Jan 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2019000889 | MO | |
| Speech-Language Pathologist | 235Z00000X | SP00462-P | RI | Primary |
Addresses
Primary practice location
21 Lincoln Ave
Central Falls, RI 02863-2012
Mailing address
1215 E Truman Rd
Kansas City, MO 64106-3152
Phone (816) 418-5200
Other practice location 1
1215 E Truman Rd
Kansas City, MO 64106-3152
Phone (816) 418-5200
Other names 1
- Brenna Campbell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019000889 | MO | MD | Speech-Language Pathologist |
| SP00462-P | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learning Community Charter School | Past | Accepting new patients | |
| Learning Community Charter School | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Central Falls, RI
- NPI 1245384486
-
- Local Education Agency (LEA)
- Central Falls, RI
- NPI 1528273448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1316401540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 E TRUMAN RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641063152",
"telephone_number": "816-418-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 LINCOLN AVE",
"city": "CENTRAL FALLS",
"state": "RI",
"postal_code": "028632012",
"telephone_number": "401-722-9998"
}
],
"practiceLocations": [
{
"address_1": "1215 E Truman Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641063152",
"country_code": "US",
"telephone_number": "816-418-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OUELLETTE",
"first_name": "BRENNA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2019000889",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00462-P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENNA",
"last_name": "CAMPBELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Central Falls, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.