Individual provider Active NPI

Ashley B Collette, M.ED, CCC-SLP

  • Speech-Language Pathologist
  • Fitchburg, MA
National Provider Identifier
1467049635
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7697 Issued in MA
Practice address
619 South St
Fitchburg, MA 01420-6248
Phone
(978) 827-0757
Fax
(978) 703-4431
NPI assigned
Dec 22, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 7697 MA Primary

Addresses

Primary practice location

619 South St
Fitchburg, MA 01420-6248

Mailing address

95 Bathrick Rd
Westminster, MA 01473-1228
Phone (770) 598-6358

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1467049635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BATHRICK RD",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731228",
            "telephone_number": "770-598-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SOUTH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014206248",
            "telephone_number": "978-827-0757",
            "fax_number": "978-703-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTE",
        "first_name": "ASHLEY",
        "middle_name": "B",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.