DR. CORTNEY LYNN MOUILLESSEAUX


Address: 270 Horizon Dr, Raleigh, NC 27615-4922
Phone: 9198450623

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 5921418 05

Office Location

Street Address 270 HORIZON DR
City RALEIGH
State NC
Zip Code 27615-4922

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City RALEIGH
Zip Code 27615

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Dataset Information

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.

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