Active NPI
Courtney Leigh Thomas, M.A., CCC-SLP
- Speech-Language Pathologist
- Watertown, NY
National Provider Identifier
1811540529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 20104 Arsenal Street Rd
Watertown, NY 13601-5560 - Phone
- (315) 779-7000
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
20104 Arsenal Street Rd
Watertown, NY 13601-5560
Mailing address
20104 Arsenal Street Rd
Watertown, NY 13601-5560
Phone (315) 779-7000
Other names 1
- Miss Courtney Leigh Edgar
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1811540529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20104 ARSENAL STREET RD",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015560",
"telephone_number": "315-779-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20104 ARSENAL STREET RD",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015560",
"telephone_number": "315-779-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "COURTNEY",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "EDGAR",
"middle_name": "LEIGH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Watertown, NY
- The Rowland Center, Inc.
- The Treehouse Hourly Child Care, LLC
- The Young Men'S Christian Association of Watertown Ny Inc.
- Sydney C Theobald, LCSW
- Adrean Lynn Thomas, OTD, OTR/L
- Jessica Lynn Thomas, RN
- Joseph Dean Thomas, MSW
- Linda Austin Thomas, MA
- Riley Margaret Thomas, M.A., CCC-SLP
- Samantha Thomes, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.