Individual provider Active NPI

Courtney B Richards

  • Audiologist
  • Louisville, KY
National Provider Identifier
1396911244
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
KY-0485 Issued in KY
Practice address
6420 Dutchmans Pkwy
#380
Louisville, KY 40205-3372
Phone
(502) 894-9753
Fax
(502) 371-0929
NPI assigned
May 1, 2008
Last updated
Dec 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X KY-0485 KY Primary
Audiologist-Hearing Aid Fitter 237600000X KY-0949 KY

Addresses

Primary practice location

6420 Dutchmans Pkwy
#380
Louisville, KY 40205-3372

Mailing address

6420 Dutchmans Pkwy
Suite 380
Louisville, KY 40205-3372
Phone (502) 894-9753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180110001204 NC Practitioner - Qualified Audiologist 3072684182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Ear and Hearing Clinic PCGroup PAC ID 8224017660, 6 clinicians

Practice addresses (Care Compare)

5900 Six Forks Rd
Suite 200
Raleigh, NC 27609-8226
Phone 9198764327204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10238NCMDOccupational Therapist
KY-0485KYMDAudiologist
KY-0949KYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Ear & Hearing Clinic, PC Current Accepting new patients
Carolina Ear & Hearing Clinic, PC CurrentSince Jan 2, 2019 Accepting new patients
ENT Care Centers PLLC PastSince Apr 1, 2022 Accepting new patients
Kentuckiana Ear, Nose & Throat PSC PastSince Feb 10, 1995 Accepting new patients

Locations

5900 Six Forks Rd
Ste 200
Raleigh, NC 27609
Phone (919) 876-4327

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1396911244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "SUITE 380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-894-9753",
            "fax_number": "502-371-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "#380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-894-9753",
            "fax_number": "502-371-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "COURTNEY",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "KY-0485",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KY",
            "license": "KY-0949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.