Individual provider Active NPI

Courtney Acquard, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Hamburg, NY
National Provider Identifier
1801228028
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023518 Issued in NY
Practice address
6490 Taylor Rd Lot 17
Hamburg, NY 14075-6565
Phone
(877) 246-2396
NPI assigned
Jul 30, 2013
Last updated
Feb 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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 023518 NY Primary

Addresses

Primary practice location

6490 Taylor Rd Lot 17
Hamburg, NY 14075-6565

Mailing address

121 Pound Rd
Elma, NY 14059-9680
Phone (716) 481-2481

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
023518NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Boundaries: Therapy for Kids Past Accepting new patients
Beyond Boundaries: Therapy for Kids Past Accepting new patients

Organizations & group practices 2

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1801228028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 POUND RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599680",
            "telephone_number": "716-481-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 TAYLOR RD LOT 17",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756565",
            "telephone_number": "877-246-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUARD",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.