Active NPI
Courtney Lillian Sills
- Speech-Language Pathologist
- Bayside, NY
National Provider Identifier
1285321000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 032027-01
- Practice address
- 2901 216TH St
Bayside, NY 11360-2810 - Phone
- (718) 281-8800
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 032027-01 | NY | Primary |
Addresses
Primary practice location
2901 216TH St
Bayside, NY 11360-2810
Mailing address
172 Audubon Blvd
Island Park, NY 11558-1707
Phone (516) 319-0592
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
| License | State | Type | Specialty |
|---|---|---|---|
| 032027-01 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1285321000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 AUDUBON BLVD",
"city": "ISLAND PARK",
"state": "NY",
"postal_code": "115581707",
"telephone_number": "516-319-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 216TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602810",
"telephone_number": "718-281-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILLS",
"first_name": "COURTNEY",
"middle_name": "LILLIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "032027-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.