Individual provider Active NPI

Courtney Leann Shiflet

  • Speech-Language Pathologist
  • Homewood, AL
National Provider Identifier
1093548554
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
240108 Issued in AL
Practice address
438 Carr Ave Suite 6 Homewood
Suite 6
Homewood, AL 35209
Phone
(214) 763-5128
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 240108 AL Primary

Addresses

Primary practice location

438 Carr Ave Suite 6 Homewood
Suite 6
Homewood, AL 35209

Mailing address

3207 Greendale PL Apt 3
Birmingham, AL 35243-5428
Phone (214) 763-5128

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

State licenses

LicenseStateTypeSpecialty
240108ALMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1093548554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 GREENDALE PL APT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352435428",
            "telephone_number": "214-763-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 CARR AVE SUITE 6 HOMEWOOD",
            "address_2": "SUITE 6",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "214-763-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLET",
        "first_name": "COURTNEY",
        "middle_name": "LEANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "240108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.