Individual provider Active NPI

Courtnye Michelle Neice, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Joplin, MO
National Provider Identifier
1285214320
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3122 S Tyler Ave
Joplin, MO 64804-1587
Phone
(918) 688-0120
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 37242 CA
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3122 S Tyler Ave
Joplin, MO 64804-1587

Mailing address

3122 S Tyler Ave
Joplin, MO 64804-1587
Phone (918) 688-0120

Other practice location 1

2218 W 32nd St
Joplin, MO 64804-3514
Phone (918) 688-0120

Other practice location 2

100 Mercy Way
Joplin, MO 64804-4524
Phone (918) 688-0120

Other practice location 3

2810 S Jackson Ave
Joplin, MO 64804-2524
Phone (918) 688-0120

Other names 1

  • Courtnye Michelle Neice 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37242CAMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Occupational Therapy LLC Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1285214320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 S TYLER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041587",
            "telephone_number": "918-688-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 S TYLER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041587",
            "telephone_number": "918-688-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2218 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043514",
            "country_code": "US",
            "telephone_number": "918-688-0120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Mercy Way",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044524",
            "country_code": "US",
            "telephone_number": "918-688-0120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 S Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648042524",
            "country_code": "US",
            "telephone_number": "918-688-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEICE",
        "first_name": "COURTNYE",
        "middle_name": "MICHELLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37242",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNYE",
            "last_name": "NEICE",
            "middle_name": "MICHELLE",
            "credential": "M.S. CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.