DR. CORTNEY LYNN MOUILLESSEAUX (NPI# 1356532691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356532691 |
Entity Type | Individual |
Full Name | DR. CORTNEY LYNN MOUILLESSEAUX |
Other Name | CORTNEY LYNN KIRKENDALL |
Credential | M.D. |
Practice Address |
270 Horizon Dr Raleigh NC 27615-4922 |
Mailing Address |
260 Horizon Dr Raleigh NC 27615-4922 |
Practice Telephone | 9198450623 |
Practice Fax Number | 9194881716 |
Mailing Telephone | 9194880015 |
Mailing Fax Number | 9192770066 |
Enumeration Date | 2007-08-01 |
Last Update Date | 2015-08-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 201101853 | NC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5921418 | 05 |
Street Address |
270 HORIZON DR |
City | RALEIGH |
State | NC |
Zip Code | 27615-4922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578639050 | Karen R Stevens | Psychologist | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2006-11-28 |
1124493598 | Joanna Katarzyna Janik | Nurse Practitioner | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2015-12-09 |
1730579285 | Andrea Marie Roche | Counselor | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2015-02-04 |
1144572801 | Judith Ann Stubanas | Counselor | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2012-10-04 |
1699026971 | Alexandra Nicole Beckwith | Counselor | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2012-09-26 |
1316238686 | Growing Child Office Meds Inc | Pharmacy | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2011-04-21 |
1033412580 | Growing Child Pediatrics | Counselor | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2010-12-06 |
1992029805 | Jessie Merrinda Sell | Marriage & Family Therapist | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2010-03-22 |
1427181502 | Michelle H Bae | Nurse Practitioner | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2007-03-14 |
1396873667 | Kelly A Carney | Pediatrics | 270 Horizon Dr, Raleigh, NC 27615-4922 | 2007-03-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
Find all providers in zip 27615 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174165187 | Breana Lee Chappuis | Pediatrics | 4605 Lord Mario Ct, Raleigh, NC 27610-8718 | 2019-10-10 |
1295217008 | Centricity Care, Pllc | Pediatrics | 2417 Bryarton Woods Dr, Raleigh, NC 27606-4022 | 2018-08-29 |
1073914024 | Little Oaks Pediatrics, Pllc | Pediatrics | 13200 Strickland Rd Ste 120, Raleigh, NC 27613-5212 | 2014-09-09 |
1700144649 | Brett L Maclean | Pediatrics | 5240 Knollwood Rd, Raleigh, NC 27609-4512 | 2012-04-29 |
1134412943 | Michael David Brown | Pediatrics | 3000 Newbern Ave, Dept of Pediatrics, Raleigh, NC 27610 | 2011-05-26 |
1801041157 | James Gordon Still | Pediatrics | 4816 Oak Way, Raleigh, NC 27613-6346 | 2008-11-28 |
1427231943 | Mdfamily Medical Group | Pediatrics | 1100 N Raleigh Blvd Ste 111, Raleigh, NC 27610-1076 | 2007-12-06 |
1144415340 | Elizabeth Ann Briere | Pediatrics | 260 Horizon Dr, Raleigh, NC 27615-4922 | 2007-09-11 |
1285831347 | Mia N Armstrong | Pediatrics | 23 Sunnybrook Rd Ste 116, Raleigh, NC 27610-7401 | 2007-06-29 |
1558405498 | Ceyhun Ozturk | Pediatrics | 13200 Strickland Rd, Suite 120, Raleigh, NC 27613-5212 | 2007-02-16 |
Find all providers in RALEIGH |
Please comment or provide details below to improve the information on DR. CORTNEY LYNN MOUILLESSEAUX.
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.