Courtney Lynn Aivati, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22035 Issued in CA

Practice address

10243 Genetic Center Dr
San Diego, CA 92121

Phone

(858) 526-6013

Fax

(858) 526-6062

NPI assigned

Aug 1, 2013

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 names 1

• Ms. Courtney Lynn Naragon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1194157172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933 ACTIVITY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262600",
            "telephone_number": "858-586-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10243 GENETIC CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "858-526-6013",
            "fax_number": "858-526-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8933 Activity Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921264492",
            "country_code": "US",
            "telephone_number": "858-653-6062",
            "fax_number": "858-566-7043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIVATI",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "22035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "NARAGON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Airlink USA LC
• Omonigho A. Aisagbonhi, MD, PHD
• Paul Stephen Aisen
• Aisha Ahmed, DPM, Inc.
• Natalie C Aitchison, MD
• Chris Aivazian
• Cynthia Ajani
• Michael Ajao, M.D.
• Ajay D. Amin D.D.S. Inc.
• Toluwalase Ayodele Ajayi, MD

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.