Courtney Lee Sutherland, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004210 Issued in VA

Practice address

3490 Lick Creek Rd
Haysi, VA 24256-5218

Phone

(276) 865-0175

Fax

(276) 865-0175

NPI assigned

Apr 7, 2007

Last updated

Sep 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Courtney L. Sutherland M.S. CCC-SLP, LLC

  • Pathology Specialist/Technologist
  • Nora, VA
  • NPI 1871147025
  NPD (past)

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1881717700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 LICK CREEK RD",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "242565218",
            "telephone_number": "276-865-0175",
            "fax_number": "276-865-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 LICK CREEK RD",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "242565218",
            "telephone_number": "276-865-0175",
            "fax_number": "276-865-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "COURTNEY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY",
            "identifier": "2202004210",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Sulee Senter, FNP-C
• St Charles Health Council Inc (Haysi Clinic)
• Alexandria Victoria Stanley, PHARMD
• Ashley Stanley, FNP-BC
• Christon Paige Stiltner, NP
• Town of Haysi
• Viers Medical Clinic PLLC
• Henry Price Viers, FNP
• Mary Alice Yates, FNP-C

• Speech-Language Pathologist in Haysi, VA
• Providers in Haysi, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.