Courtney Roan Richardson-Young, MS. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003339A Issued in IN

Practice address

4212 Charlestown Rd
Suite 3
New Albany, IN 47150-9487

Phone

(812) 949-3272

Fax

(812) 949-3271

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Doctors Hearing Care, LLC

  • Audiologist
  • New Albany, IN
  • NPI 1700920808
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780725440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 APPLEWOOD CIR",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400147553",
            "telephone_number": "502-243-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CHARLESTOWN RD",
            "address_2": "SUITE 3",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509487",
            "telephone_number": "812-949-3272",
            "fax_number": "812-949-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON-YOUNG",
        "first_name": "COURTNEY",
        "middle_name": "ROAN",
        "name_prefix": "Ms.",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003339A",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Reynolds, OD
• Laleh Rezaei, M.D.
• Daniel Alan Ribeiro, PSY.D.
• Richard P Gardner MD PSC
• Nathan Boone Richards, M.D.
• Samantha Richardson, M.ED., BCBA
• Diana Lynn Richmer, PT
• Connie J Richter, LCSW
• Thomas Andrew Ricke, M.D.
• Carmen Rickman, CSW, LSW

• All providers in New Albany, IN
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.