Individual provider Active NPI

Courtney L Losey, MS, SLP

  • Speech-Language Pathologist
  • Rice Lake, WI
National Provider Identifier
1891305397
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5053-154 Issued in WI
Practice address
2523 14 3/4 Ave
Rice Lake, WI 54868-8736
Phone
(715) 859-6670
Fax
(715) 859-6669
NPI assigned
Aug 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2020

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 5053-154 WI Primary

Addresses

Primary practice location

2523 14 3/4 Ave
Rice Lake, WI 54868-8736

Mailing address

2523 14 3/4 Ave
Rice Lake, WI 54868-8736
Phone (715) 859-6670

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

State licenses

LicenseStateTypeSpecialty
5053-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Associates of Northwest Wisconsin, LTD Speech-Language Pathologist PastSince Aug 16, 2020 Accepting new patients
Natures Edge Therapy Center Speech-Language Pathologist PastSince Aug 16, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1891305397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 14 3/4 AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688736",
            "telephone_number": "715-859-6670",
            "fax_number": "715-859-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 14 3/4 AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688736",
            "telephone_number": "715-859-6670",
            "fax_number": "715-859-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSEY",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "MS, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "5053-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.