Active NPI
Courtney Lucero, MS, CCC-SLP
- Speech-Language Pathologist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6596
- Practice address
- 32 Spur Cir
Scottsdale, AZ 85251 - Phone
- (480) 945-0185
- NPI assigned
- Feb 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6596 | AZ | Primary |
Addresses
Primary practice location
32 Spur Cir
Scottsdale, AZ 85251
Mailing address
210 W Flamingo Dr
Chandler, AZ 85286-7785
Phone (480) 235-3880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780916676 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6596 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Achievement Therapy Services | Past | Accepting new patients | |
| Therapy Matters, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601
21630 N 19th Ave
Ste B3
Phoenix, AZ 85027
Phone (480) 235-7588
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Organizations & group practices 3
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.
-
- Occupational Therapist
- Scottsdale, AZ
- NPI 1750727798
Speech-Language Pathologist
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1265499701
-
- Multi-Specialty Clinic/Center
- Chandler, AZ
- NPI 1033400890
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1780916676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W FLAMINGO DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852867785",
"telephone_number": "480-235-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 SPUR CIR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85251",
"telephone_number": "480-945-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "COURTNEY",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "6596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780916676",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.