Courtney Lee Smith, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17030113 Issued in NC

Practice address

4804 Sinclair Dr
Raleigh, NC 27616

Phone

(919) 302-6491

NPI assigned

Jun 3, 2016

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Play to Learn Speech and Language Services, PLLC

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1205319571
  NPD (past) Authorized official
• Allied Rehabilitation Services, Inc.

  • Physical Therapist
  • Wake Forest, NC
  • NPI 1861442881

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1760831424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 SINCLAIR DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165450",
            "telephone_number": "919-302-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 SINCLAIR DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27616",
            "telephone_number": "919-302-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Franklin St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275872799",
            "country_code": "US",
            "telephone_number": "919-556-1700 x23",
            "fax_number": "919-556-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "LEE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "17030113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0776G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720776G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christen Elizabeth Smith, LCMHC
• Clare Smith
• Cloteleous Rush Smith
• Cortnie Latrice Smith
• Courtney Caroline Smith, AUD
• Crystal Smith
• Cynthia Smith
• Dana Smith, NP
• Derrick Lavon Smith Jr., PA-C
• Desiree Smith

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.