Active NPI
Courtney Rae Canez, SLP
- Speech-Language Pathologist
- Buckeye, AZ
National Provider Identifier
1891194486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP9016
- Practice address
- 19818 W US Highway 85
Buckeye, AZ 85326-9258 - Phone
- (623) 327-2819
- Fax
- (623) 327-2819
- NPI assigned
- Aug 19, 2014
- 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 | SLP9016 | AZ | Primary |
Addresses
Primary practice location
19818 W US Highway 85
Buckeye, AZ 85326-9258
Mailing address
19818 W US Highway 85
Buckeye, AZ 85326-9258
Phone (623) 327-2819
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP9016 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Elementary School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Buckeye, AZ
- NPI 1184927840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1891194486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19818 W US HIGHWAY 85",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853269258",
"telephone_number": "623-327-2819",
"fax_number": "623-327-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19818 W US HIGHWAY 85",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853269258",
"telephone_number": "623-327-2819",
"fax_number": "623-327-2819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANEZ",
"first_name": "COURTNEY",
"middle_name": "RAE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP9016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.