Courtney Anne Smith, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13459 Issued in FL

Practice address

910 S Winterhawk Dr
#107
Saint Augustine, FL 32086-3870

Phone

(904) 217-3914

Fax

(904) 217-3892

NPI assigned

Jun 27, 2013

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

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.

• Ancient City Children'S Therapy, LLC

  • Specialist
  • St Augustine, FL
  • NPI 1619267671
  NPD (past)
• North Georgia Pediatric Therapies, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1447499132

  Speech-Language Pathologist

  NPD (past)
• North Georgia Pediatric Therapies, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1538716865

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1669812236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S WINTERHAWK DR",
            "address_2": "#107",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863870",
            "telephone_number": "904-217-3914",
            "fax_number": "904-217-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S WINTERHAWK DR",
            "address_2": "#107",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863870",
            "telephone_number": "904-217-3914",
            "fax_number": "904-217-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irving Hadden Smith III III, RRT
• Amy Smith
• Bethany Smith
• Candace Smith, ARNP
• Courtland K Smith, LMT
• Dillon Smith, OD
• Gordana Smith
• Jessica Leigh Smith
• Kari Ann Smith, M.D.
• Keeley Smith

• Speech-Language Pathologist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.