Active NPI
Courtney H. Milford, M.S.
- Speech-Language Pathologist
- Conesus, NY
National Provider Identifier
1376795062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018401-1
- Practice address
- 5484 Mission Rd
Conesus, NY 14435-9587 - Phone
- (585) 727-3319
- NPI assigned
- Oct 14, 2008
- 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 | 018401-1 | NY | Primary |
Addresses
Primary practice location
5484 Mission Rd
Conesus, NY 14435-9587
Mailing address
5484 Mission Rd
Conesus, NY 14435-9587
Phone (585) 727-3319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-0213081 | Other | NY | TAX ID |
Other names 1
- Courtney Holderle
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
| License | State | Type | Specialty |
|---|---|---|---|
| 018401-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1376795062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5484 MISSION RD",
"city": "CONESUS",
"state": "NY",
"postal_code": "144359587",
"telephone_number": "585-727-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5484 MISSION RD",
"city": "CONESUS",
"state": "NY",
"postal_code": "144359587",
"telephone_number": "585-727-3319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILFORD",
"first_name": "COURTNEY",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-14",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018401-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "30-0213081",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "HOLDERLE",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Conesus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.