COURTNEY KONCHAN (NPI# 1053940320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053940320 |
| Entity Type | Individual |
| Full Name | COURTNEY KONCHAN |
| Practice Address |
10101 Forest Hill Blvd Wellington FL 33414-6103 |
| Mailing Address |
326 Fern St Apt 105 West Palm Beach FL 33401-5890 |
| Practice Telephone | 5617988500 |
| Mailing Telephone | 4843667573 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10101 FOREST HILL BLVD |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788667 | Leonid Zaslavskiy | Anesthesiology | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2005-08-26 |
| 1033734462 | Stacey Ann Loffredo | Nurse Anesthetist, Certified Registered | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-06-11 |
| 1881213536 | Autumn Lee Davis | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-13 |
| 1841829744 | Mirsha Stiven | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-03 |
| 1912534520 | Ashleigh Dugas Dupuy | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-03-24 |
| 1982163515 | Winta Haile Assefaw | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1629537287 | Anastasia Veresciac | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1609334531 | Tamara Coleburn | Nurse Practitioner | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-11 |
| 1811455173 | Andrea Erickson | Physician Assistant | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-06 |
| 1295293835 | Michael Blade Sullivan II | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811525678 | Jazmin Rivero | Student in an Organized Health Care Education/Training Program | 2036 Cross Breeze Dr, Wellington, FL 33414-8075 | 2020-03-29 |
| 1942726997 | Heather Wisniewski | Student in an Organized Health Care Education/Training Program | 12792 Forest Hill Blvd Unit 30, Wellington, FL 33414-4748 | 2017-08-21 |
| 1033644737 | Nikul Panchal | Student in an Organized Health Care Education/Training Program | 4644 Windward Cove Ln, Wellington, FL 33449-7401 | 2017-05-01 |
| 1508252636 | Chad Mackay | Student in an Organized Health Care Education/Training Program | 3307 Pomerol Dr Apt 401, Wellington, FL 33414-9420 | 2015-04-15 |
| 1881213536 | Autumn Lee Davis | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-13 |
| 1841829744 | Mirsha Stiven | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-03 |
| 1912534520 | Ashleigh Dugas Dupuy | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-03-24 |
| 1982163515 | Winta Haile Assefaw | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1629537287 | Anastasia Veresciac | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1295293835 | Michael Blade Sullivan II | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-02 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on COURTNEY KONCHAN.
| 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.