Individual provider Active NPI

Courtney Anne Smee

  • Speech-Language Pathologist
  • Park Ridge, IL
National Provider Identifier
1275700650
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146008990 Issued in IL
Practice address
235 Devon Ave
Park Ridge, IL 60068-5513
Phone
(847) 354-1433
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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 146008990 IL Primary

Addresses

Primary practice location

235 Devon Ave
Park Ridge, IL 60068-5513

Mailing address

235 Devon Ave
Park Ridge, IL 60068-5513
Phone (847) 354-1433

Other practice location 1

735 Stillwater Ct
Lake Zurich, IL 60047-2850
Phone (847) 354-1433

Other names 1

  • Courtney Anne Pytlarz Former name

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
146008990ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1275700650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685513",
            "telephone_number": "847-354-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685513",
            "telephone_number": "847-354-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Stillwater Ct",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472850",
            "country_code": "US",
            "telephone_number": "847-354-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMEE",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "PYTLARZ",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.