Organization Active NPI

Courtney Pryor

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1922236884
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
12054464 Issued in NY
Legal business name
COURTNEY PRYOR
Practice address
200 Hart Blvd Apt 4E
Staten Island, NY 10301-3460
Phone
(718) 442-2704
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Courtney Pryor, SLP
Title
Speech Pathologist
Phone
(718) 442-2704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 12054464 NY Primary

Addresses

Primary practice location

200 Hart Blvd Apt 4E
Staten Island, NY 10301-3460

Mailing address

200 Hart Blvd Apt 4E
200 Hart Blvd. Apt4E
Staten Island, NY 10301-3460
Phone (718) 442-2704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1922236884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HART BLVD APT 4E",
            "address_2": "200 HART BLVD. APT4E",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013460",
            "telephone_number": "718-442-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HART BLVD APT 4E",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013460",
            "telephone_number": "718-442-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY PRYOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "718-442-2704",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "12054464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.