Active NPI
Courtney Danielle Speakman, M.A. R.D. C.D.
- Registered Dietitian
- Chesterfield, IN
National Provider Identifier
1003271438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86010840
- Practice address
- 618 W Main St
Chesterfield, IN 46017-1116 - Phone
- (765) 426-9292
- NPI assigned
- Dec 30, 2015
- Last updated
- Dec 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86010840 | IN | Primary |
Addresses
Primary practice location
618 W Main St
Chesterfield, IN 46017-1116
Mailing address
618 W Main St
Chesterfield, IN 46017-1116
Phone (765) 426-9292
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86010840 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1003271438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 W MAIN ST",
"city": "CHESTERFIELD",
"state": "IN",
"postal_code": "460171116",
"telephone_number": "765-426-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 W MAIN ST",
"city": "CHESTERFIELD",
"state": "IN",
"postal_code": "460171116",
"telephone_number": "765-426-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAKMAN",
"first_name": "COURTNEY",
"middle_name": "DANIELLE",
"credential": "M.A. R.D. C.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "86010840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, IN
- Bradley Paul Laconi, DDS
- Lifestyles Homecare LLC
- Stachia Leigh Myers, DON RN
- Jennifer M. Perusek, DVM
- Rem Occazio, Inc.
- St. Vincent Madison County Health System, Inc.
- Rita Joan Stover-Conwell, MSW
- The Waters of Chesterfield Skilled Nursing Facility LLC
- Town of Chesterfield (Chesterfield-Union Twp Emergency Svcs)
- Twinkling Hearts in Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.