Courtney Reeves Scaggs, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

113508 Issued in TX

Practice address

1408 Tabor St
Houston, TX 77009-2513

Phone

(540) 325-6375

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1891388294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 TABOR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770092513",
            "telephone_number": "540-325-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 TABOR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770092513",
            "telephone_number": "540-325-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAGGS",
        "first_name": "COURTNEY",
        "middle_name": "REEVES",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thespeechdynamic.com",
            "affiliation": "N",
            "address_1": "1408 Tabor St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770092513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.