Individual provider Active NPI

Courtney Crace, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1851554810
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3616 Issued in KY
Practice address
3441 Aldershot Dr
Lexington, KY 40503-4201
Phone
(859) 806-5717
Fax
(877) 804-4492
NPI assigned
Jul 9, 2008
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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 3616 KY Primary

Addresses

Primary practice location

3441 Aldershot Dr
Lexington, KY 40503-4201

Mailing address

3441 Aldershot Dr
Lexington, KY 40503-4201
Phone (859) 806-5717

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
3616KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1851554810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 ALDERSHOT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405034201",
            "telephone_number": "859-806-5717",
            "fax_number": "877-804-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 ALDERSHOT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405034201",
            "telephone_number": "859-806-5717",
            "fax_number": "877-804-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACE",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.