Active NPI
Courtney Parker Sandhu
- Speech-Language Pathologist
- Weatherford, TX
National Provider Identifier
1972905487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 110013
- Practice address
- 150 Willow Creek Dr Ste 105
Weatherford, TX 76085-3652 - Phone
- (817) 550-5058
- Fax
- (866) 509-8177
- NPI assigned
- Sep 16, 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 | 110013 | TX | Primary |
Addresses
Primary practice location
150 Willow Creek Dr Ste 105
Weatherford, TX 76085-3652
Mailing address
150 Willow Creek Dr Ste 105
Weatherford, TX 76085-3652
Phone (817) 550-5058
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1972905487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WILLOW CREEK DR STE 105",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760853652",
"telephone_number": "817-550-5058",
"fax_number": "866-509-8177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WILLOW CREEK DR STE 105",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760853652",
"telephone_number": "817-550-5058",
"fax_number": "866-509-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER SANDHU",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "110013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.