Colleen Robbins Pouquette, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

AZSLP0044 Issued in AZ

Practice address

812 Valley St
Prescott, AZ 86305-1826

Phone

(928) 445-1309

Fax

(928) 445-0914

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Prescott Speech & Language Services Inc.

  • Speech-Language Pathologist
  • Prescott, AZ
  • NPI 1891831509
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1881632578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11312",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863041312",
            "telephone_number": "928-445-1309",
            "fax_number": "928-445-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 VALLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051826",
            "telephone_number": "928-445-1309",
            "fax_number": "928-445-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUQUETTE",
        "first_name": "COLLEEN",
        "middle_name": "ROBBINS",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "AZSLP0044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA MEMBERSHIP",
            "identifier": "00804385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Options, Inc.
• Krystyna Anna Posvenski, PT
• Robert Potter, LASAC
• Elijah Michael Poulos, MD
• Jacqueline Rochelle Poulos, N.M.D
• Gregory Powell
• Powers Counseling LLC
• Jennifer C Powers, LCSW
• Peter L Powers, MD
• Practical Development

• Speech-Language Pathologist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.