Courtney Ann Deruiter, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00004626 Issued in WA

Practice address

325 9TH Ave # 359819
Seattle, WA 98104-2420

Phone

(206) 731-2140

NPI assigned

Feb 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1669650461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 1ST AVE NW APT D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074920",
            "telephone_number": "318-349-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVE # 359819",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042420",
            "telephone_number": "206-731-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERUITER",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Lyman Thomason Derrick, MD
• Peter Derrick
• Susan Parker Derrick, PT
• Nicholas Peter Derrico, MD
• Andrea L. Deruiter, CCC-SLP
• Charles Gregor Flores Derupe, PHARMD
• Andrew Peter Dervan, M.D.
• Leslie Ann Dervan, MD
• Patricia Ann Deryke, ARNP
• Terese Angela Derzay, LMP

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.