Courtney Anne Brimm, M.S., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP10866 Issued in AZ

Practice address

6550 E 2ND St Ste B
Prescott Valley, AZ 86314-3523

Phone

(928) 771-9372

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Az Homeschool SLP LLC

  • Hearing and Speech Clinic/Center
  • Prescott Valley, AZ
  • NPI 1285323196
  NPD Authorized official

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1457790917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 N TAYLOR DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148227",
            "telephone_number": "520-850-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 E 2ND ST STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143523",
            "telephone_number": "928-771-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMM",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA8181",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10866",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP10866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.