COURTNEY A. SHICK (NPI# 1003066432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003066432 |
| Entity Type | Individual |
| Full Name | COURTNEY A. SHICK |
| Credential | PA-C |
| Practice Address |
1311 E. Division Street Mount Vernon WA 98274 |
| Mailing Address |
1400 E. Kincaid Street Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604247991 |
| Practice Fax Number | 3604284377 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60037605 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1311 E. DIVISION STREET |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104842103 | Laurence M. Lee | Urology | 1311 E. Division Street, Mount Vernon, WA 98274 | 2006-07-14 |
| 1821183856 | Amy M. Arisco | Urology | 1311 E. Division Street, Mount Vernon, WA 98274 | 2006-10-04 |
| 1376637629 | Winston G. Jones | Urology | 1311 E. Division Street, Mount Vernon, WA 98274 | 2006-10-03 |
| 1639270812 | Darrell R. Cornelius | Urology | 1311 E. Division Street, Mount Vernon, WA 98274 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609898295 | Franklin Emergency Medicine Associates Pa | Physician Assistant | 500 S State Highway 37, Mount Vernon, TX 75457 | 2006-07-24 |
| 1679562136 | Casondra A Banks | Physician Assistant | 1600 Continental Pl, #101, Mount Vernon, WA 98273-5607 | 2005-10-18 |
| 1912504424 | Laura Vanessa Sanchez | Physician Assistant | 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 2020-10-07 |
| 1750997433 | Katie Akane Kaestner | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2020-09-18 |
| 1295107670 | John David Carlin | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2015-10-26 |
| 1679979157 | Michael Murray | Physician Assistant | 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864-6567 | 2014-11-12 |
| 1215353636 | Kristiana L Brown | Physician Assistant | 10 Woodlake Trl Ste C, Mount Vernon, OH 43050-9573 | 2014-03-10 |
| 1538345285 | Julie R. Heath | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2008-01-11 |
| 1831394782 | Julie A Lampley-douglass | Physician Assistant | 4105 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2007-06-20 |
| 1346376274 | James Edward Keeler | Physician Assistant | 3307 Broadway St, Suite 140, Mount Vernon, IL 62864-2347 | 2007-02-26 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on COURTNEY A. SHICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.