COURTNEY J HARRIS (NPI# 1235764218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235764218 |
| Entity Type | Individual |
| Full Name | COURTNEY J HARRIS |
| Credential | CRNA |
| Practice Address |
1 Saint Elizabeth Blvd O Fallon IL 62269-1099 |
| Mailing Address |
319 N Oakcrest Ave Decatur IL 62522-1812 |
| Practice Telephone | 6182342120 |
| Practice Fax Number | 6186415810 |
| Mailing Telephone | 3146165191 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209.020870 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740754258 | Courtney Harris | Case Manager/Care Coordinator | 9129 Orchard Blvd, Midwest City, OK 73130-7142 | 2019-01-17 |
| 1629506142 | Courtney Harris | Occupational Therapist | 2351 Mendocino Ave, Santa Rosa, CA 95403-3114 | 2017-05-29 |
| 1811325418 | Courtney Harris | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1881 Cravens Ln, Carpinteria, CA 93013-3066 | 2013-10-17 |
| 1861832719 | Courtney Harris | Counselor | 717 Green Valley Rd Ste 200, Greensboro, NC 27408 | 2013-06-25 |
| 1265031694 | Courtney Harris | Pharmacist | 143 Mcgavock Pike, Nashville, TN 37214-2143 | 2020-10-16 |
| 1235744996 | Courtney Harris | Behavior Technician | 100 Governors Trce Ste 101, Peachtree City, GA 30269-4853 | 2020-09-10 |
| 1962023861 | Courtney Harris | Homemaker | 7600 Georgia Ave Nw Ste 308, Washington, DC 20012-1616 | 2020-05-01 |
| 1508402108 | Courtney Ann Harris | Nurse Practitioner | 10407 Jollyville Rd, Austin, TX 78759-5626 | 2019-11-19 |
| 1114587516 | Courtney Harris | Dietitian, Registered | 10400 Mallard Creek Rd Ste 340, Charlotte, NC 28262-5203 | 2019-06-18 |
| 1366967606 | Courtney Elizabeth Harris | Counselor | 499 Loma Alta Ave, Los Gatos, CA 95030-6227 | 2017-08-08 |
| Street Address |
1 SAINT ELIZABETH BLVD |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629057302 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | General Acute Care Hospital | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2006-01-11 |
| 1568084903 | Amanda Sue Burgesen | Registered Nurse | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2020-05-07 |
| 1811532666 | Cindy Lynette Sanden | Nurse Practitioner | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-11-14 |
| 1558906750 | Nicole Dawn Brueggemann | Physician Assistant | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-11-12 |
| 1912548587 | Adela Redzic | Physician Assistant | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-10-03 |
| 1578128732 | Carly Rambo | Registered Nurse | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-05-03 |
| 1033670187 | Bart S Bowers | Registered Nurse | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-03-29 |
| 1205300795 | Kris Kahler | Radiology | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2019-01-17 |
| 1033615463 | Shambra Cullum | Nurse Practitioner | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2018-04-04 |
| 1346749090 | Gcxp Inc | Emergency Medicine | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 | 2018-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457970899 | William Moran | Nurse Anesthetist, Certified Registered | 910 Daffodil Ridge Dr, O Fallon, MO 63366-7760 | 2020-04-15 |
| 1407023336 | Chrysa Michelle Wagener | Nurse Anesthetist, Certified Registered | 1 Royallmist Ct, O Fallon, MO 63368-6852 | 2008-05-09 |
| 1255310959 | Christine Meyer | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2006-01-11 |
| 1770127185 | Dane Aaron Blackwood | Nurse Anesthetist, Certified Registered | 1 Progress Point Pkwy, Ste 100, O Fallon, MO 63368-2212 | 2019-10-30 |
| 1134655053 | Kyle Alan Wogtech | Nurse Anesthetist, Certified Registered | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 | 2017-05-11 |
| 1457743312 | Abigail Clare Hughes-strange | Nurse Anesthetist, Certified Registered | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 | 2015-03-02 |
| 1811236433 | Erica Louise Stevens | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2013-02-01 |
| 1669744694 | Becky K Varvera | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2012-02-07 |
| 1306140579 | Andrea N Atkins | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2011-01-03 |
| 1477864213 | Mary Ellen Ernst | Nurse Anesthetist, Certified Registered | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 | 2010-06-26 |
| Find all providers in O FALLON | ||||
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| 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.