COURTNEY ANDERSON (SLP) – Speech-Language Pathologist, NPI 1467753350

COURTNEY ANDERSON (SLP) is a healthcare provider. based in Clearwater, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. SA10899 (FL). The NPI Number for COURTNEY ANDERSON (SLP) is 1467753350

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY ANDERSON (SLP)
NPI
1467753350
Phone
(727) 487-3663
Address
808 S. DUNCAN AVE
Enumeration Date
8 November 2010
Last Update Date
19 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275415304
Graduation Year
2009 (17 years ago)
PAC ID
9537433073
Group Practice PAC ID
5597659516
Professional Enrollment ID
I20170921000869
Address ID
FL337735027LA8254XNXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

Provider Addresses for COURTNEY ANDERSON (SLP)

  • 808 S. DUNCAN AVE

    CLEARWATER, FL 337564515

    Phone: (727) 487-3663

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170921000869IQualified Speech Language PathologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33756)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597659516View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Qualified Speech Language PathologistFL
Qualified Speech Language PathologistFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
-FL
-FL

Reviews

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Frequently asked questions

How do payers reference COURTNEY ANDERSON (SLP)?
For COURTNEY ANDERSON (SLP), use NPI 1467753350 as the unique 10-digit identifier.
Is COURTNEY ANDERSON (SLP) shown as active in public data?
Registry records indicate COURTNEY ANDERSON (SLP) maintains an active NPI.
What kind of doctor is COURTNEY ANDERSON (SLP)?
COURTNEY ANDERSON (SLP) is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
Is COURTNEY ANDERSON (SLP) associated with Clearwater?
Public fields place COURTNEY ANDERSON (SLP) around Clearwater, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for COURTNEY ANDERSON (SLP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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