Individual provider Active NPI

Courtney Sanderson, SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1457519977
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
24765 Issued in TX
Practice address
5700 NW Central Dr Ste 350
Houston, TX 77092-2037
Phone
(832) 727-7331
Fax
(888) 448-7650
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 24765 TX Primary

Addresses

Primary practice location

5700 NW Central Dr Ste 350
Houston, TX 77092-2037

Mailing address

5700 NW Central Dr Ste 350
Houston, TX 77092-2037
Phone (832) 727-7331

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
24765TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Solaris Pediatric Therapy Speech-Language Pathologist CurrentSince Feb 1, 2023 Accepting new patients

Locations

5700 NW Central Dr
Ste 350
Houston, TX 77092
Phone (832) 727-3771

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1457519977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 NW CENTRAL DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922037",
            "telephone_number": "832-727-7331",
            "fax_number": "888-448-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 NW CENTRAL DR STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922037",
            "telephone_number": "832-727-7331",
            "fax_number": "888-448-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "24765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.