Active NPI
Courtney Elizabeth Ivy, SLP
- Speech-Language Pathologist
- Pleasant Valley, MO
National Provider Identifier
1356824262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2018022809
- Practice address
- 6600A Royal St
Pleasant Valley, MO 64068-8702 - Phone
- (816) 337-0856
- NPI assigned
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 2018022809 | MO | Primary |
Addresses
Primary practice location
6600A Royal St
Pleasant Valley, MO 64068-8702
Mailing address
6600A Royal St
Pleasant Valley, MO 64068-8702
Other names 1
- Courtney Elizabeth Brown
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018022809 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Midwest | 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": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1356824262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600A ROYAL ST",
"city": "PLEASANT VALLEY",
"state": "MO",
"postal_code": "640688702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600A ROYAL ST",
"city": "PLEASANT VALLEY",
"state": "MO",
"postal_code": "640688702",
"telephone_number": "816-337-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVY",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2018022809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "BROWN",
"middle_name": "ELIZABETH",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pleasant Valley, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.