Individual provider Active NPI

Courtney Kincaid

  • Speech-Language Pathologist
  • Wellston, OH
National Provider Identifier
1689190803
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.12561 Issued in OH
Practice address
405 N Park Avenue
Wellston, OH 45692
Phone
(740) 384-5611
NPI assigned
Aug 18, 2017
Last updated
Aug 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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 SP.12561 OH Primary

Addresses

Primary practice location

405 N Park Avenue
Wellston, OH 45692

Mailing address

PO Box 892
Jackson, OH 45640-0892

Other names 1

  • Courtney Kincaid Howe Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP.12561OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Walky Talky LLC Speech-Language Pathologist Current Accepting new patients

Locations

14761 State Route 93
Unit 4
Jackson, OH 45640
Phone (740) 577-3100

345 E Main St
Ste G
Jackson, OH 45640
Phone (740) 577-3043

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, 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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1689190803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456400892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N PARK AVENUE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "45692",
            "telephone_number": "740-384-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.12561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "KINCAID HOWE",
            "credential": "MA, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wellston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.