Individual provider Active NPI

Courtney Nicole Cooper, MS CCC-SLP

  • Speech-Language Pathologist
  • Spanish Fort, AL
National Provider Identifier
1083410005
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5661 Issued in AL
Practice address
7626 Spanish Fort Blvd
Spanish Fort, AL 36527-5376
Phone
(251) 929-4848
Fax
(251) 850-5080
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 5661 AL Primary

Addresses

Primary practice location

7626 Spanish Fort Blvd
Spanish Fort, AL 36527-5376

Mailing address

7626 Spanish Fort Blvd
Spanish Fort, AL 36527-5376
Phone (251) 929-4848

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 Science

State licenses

LicenseStateTypeSpecialty
5661ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Play Therapy Center Speech-Language Pathologist CurrentSince Feb 23, 2025 Accepting new patients

Locations

7626 Spanish Fort Blvd
Spanish Fort, AL 36527
Phone (251) 929-4848

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1083410005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 SPANISH FORT BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275376",
            "telephone_number": "251-929-4848",
            "fax_number": "251-850-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 SPANISH FORT BLVD",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275376",
            "telephone_number": "251-929-4848",
            "fax_number": "251-850-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.