Kristin Nicole Ouellette, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10297 Issued in MD

Practice address

23160 Moakley St Ste 105
Leonardtown, MD 20650-2933

Phone

(301) 475-5511

NPI assigned

Dec 12, 2013

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2022.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1992136188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5369 SUSQUEHANNA DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625953",
            "telephone_number": "757-297-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23160 MOAKLEY ST STE 105",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502933",
            "telephone_number": "301-475-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007244",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Ogunsusi, PHARMD
• Sung Jin Oh, DDS
• Kristine Lynn Ohler, B.S., P.T.A.
• Julia Okwuchi Oleru
• Lisa Andrea Oliver
• Rajarajeswaran Palanisamy
• Kathleen Palazuelos- Donigan, LCSW-C
• Carol Ann Paris, M.D.
• Chandrika K Patel, RPH
• Kiritkumar K Patel, M.D

• All providers in Leonardtown, MD
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.