Active NPI
Courtney Michelle Robinson, M.S. CCC-SLP
- Speech-Language Pathologist
- Lowell, MA
National Provider Identifier
1821528027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 76509
- Practice address
- 1230 Bridge St
Lowell, MA 01850-1291 - Phone
- (978) 459-7711
- NPI assigned
- Jun 20, 2017
- 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 | 76509 | MA | Primary |
Addresses
Primary practice location
1230 Bridge St
Lowell, MA 01850-1291
Mailing address
98 Bow St Apt 2
Medford, MA 02155-6545
Phone (401) 241-3643
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76509 | Other | MA | MASSACHUSSETTS STATE LICENSE |
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1821528027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 BOW ST APT 2",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021556545",
"telephone_number": "401-241-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 BRIDGE ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018501291",
"telephone_number": "978-459-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "COURTNEY",
"middle_name": "MICHELLE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "76509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSSETTS STATE LICENSE",
"identifier": "76509",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.