Individual provider Active NPI

Kristin E'Lise Parenteau

  • Speech-Language Pathologist
  • Newington, CT
National Provider Identifier
1336777374
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
002900 Issued in CT
Practice address
256 New Britain Ave
Newington, CT 06111-4416
Phone
(860) 666-5689
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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 002900 CT Primary

Addresses

Primary practice location

256 New Britain Ave
Newington, CT 06111-4416

Mailing address

999 Oronoque LN
Stratford, CT 06614-1379
Phone (203) 870-2022

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

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1336777374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ORONOQUE LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141379",
            "telephone_number": "203-870-2022",
            "fax_number": "203-386-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 NEW BRITAIN AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114416",
            "telephone_number": "860-666-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENTEAU",
        "first_name": "KRISTIN",
        "middle_name": "E'LISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "002900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.