Ashley Rene Kossick, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3547 Issued in ME

Practice address

93 Campus Ave
Lewiston, ME 04240-6030

Phone

(518) 744-7527

NPI assigned

Jun 19, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1649619966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 RUBY LANE",
            "city": "DURHAM",
            "state": "ME",
            "postal_code": "04222",
            "telephone_number": "518-744-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CAMPUS AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406030",
            "telephone_number": "518-744-7527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112652",
            "country_code": "US",
            "telephone_number": "518-744-7527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSSICK",
        "first_name": "ASHLEY",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15070",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500619294",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evgeni Kontrient, M.D.
• Kevin Korenkiewicz, CRNA
• Kornerstone Employment
• Kornerstone Services
• Kimberly A Kosiavelon, CNP
• Ruth-Anne Kowalski
• Kevin Scott Kralik, MD
• Susan Kramer, SOL
• Susan Kravetz
• Glenda Michelle Kribel, CRNA

• Speech-Language Pathologist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.