Individual provider Active NPI

Courtney McCartney, SLP

  • Speech-Language Pathologist
  • Southlake, TX
National Provider Identifier
1346749058
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113735 Issued in TX
Practice address
2425 E Southlake Blvd Ste 100
Southlake, TX 76092
Phone
(817) 442-0222
Fax
(817) 442-0223
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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 113735 TX Primary

Addresses

Primary practice location

2425 E Southlake Blvd Ste 100
Southlake, TX 76092

Mailing address

8318 Jones Maltsberger Rd Ste 121
San Antonio, TX 78216-6552
Phone (210) 348-7529

Other practice location 1

8318 Jones Maltsberger Rd Ste 121
San Antonio, TX 78216-6552
Phone (210) 348-7529

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
113735TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediaplex Management Company LLC Speech-Language Pathologist Past Accepting new patients
Premier Healthcare Services Texas LLC Past Accepting new patients

Organizations & group practices 2

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": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1346749058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 JONES MALTSBERGER RD STE 121",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166552",
            "telephone_number": "210-348-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-442-0222",
            "fax_number": "817-442-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8318 Jones Maltsberger Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782166552",
            "country_code": "US",
            "telephone_number": "210-348-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "COURTNEY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.