COURTNEY BROOKE ELLIOTT (NPI# 1487075305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487075305 |
Entity Type | Individual |
Full Name | COURTNEY BROOKE ELLIOTT |
Credential | RN, CPNP |
Practice Address |
100 W 15th St Beardstown IL 62618-1774 |
Practice Telephone | 2173232245 |
Practice Fax Number | 2173232684 |
Mailing Telephone | 2173232245 |
Mailing Fax Number | 2173232684 |
Enumeration Date | 2013-12-18 |
Last Update Date | 2015-06-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
041.430842 | IL | Nursing Service Providers |
N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
199590 | TN | Nursing Service Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209.012897 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
18596 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114535663 | Courtney Paige Elliott | Behavior Technician | 6085 Emerald Pkwy, Dublin, OH 43016-3269 | 2020-07-21 |
1700423183 | Courtney Dawn Elliott | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-12-05 |
1043489206 | Courtney Elliott | Physician Assistant | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2008-02-21 |
Street Address |
100 W 15TH ST |
City | BEARDSTOWN |
State | IL |
Zip Code | 62618-1774 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699232686 | Sarah Roegge | Nurse Practitioner | 100 W 15th St, Beardstown, IL 62618-1774 | 2019-02-26 |
1063898914 | April Summers | Nurse Practitioner | 100 W 15th St, Beardstown, IL 62618-1774 | 2015-08-03 |
1528455318 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 100 W 15th St, Beardstown, IL 62618-1774 | 2015-04-20 |
1316117765 | Schuyler County Hospital District Health Center Inc. | Clinic/Center | 100 W 15th St, Beardstown, IL 62618-1774 | 2008-02-29 |
1033233739 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 100 W 15th St, Beardstown, IL 62618-1774 | 2007-03-19 |
1235182874 | Schuyler County Hospital District | Clinic/Center | 100 W 15th St, Beardstown, IL 62618-1701 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962646042 | Cass County Mental Health | Clinic/Center | 7 Bridgeview, Beardstown, IL 62618 | 2009-04-21 |
1750562195 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 113 West 3rd St, Beardstown, IL 62618 | 2007-11-14 |
1316162993 | John Gauer Merrihew Dmd Ltd | Dentist | 1020 State St, Beardstown, IL 62618 | 2007-04-17 |
1942316179 | Cass County Mental Health Assoc | Clinic/Center | 121 E 2nd Street, Beardstown, IL 62618 | 2006-08-21 |
1619922143 | Sembu Kanthilal | Family Medicine | 507 Washington St, Beardstown, IL 62618 | 2006-05-23 |
1538111638 | Schuyler County Hospital District | Clinic/Center | 8460 St Lukes Dr, Beardstown, IL 62618 | 2006-05-17 |
1255795902 | Cass County Mental Health Association | Rehabilitation, Substance Use Disorder Unit | 121 E 2nd St, Beardstown, IL 62618 | 2016-04-08 |
1326282401 | Cass County Mental Health | Clinic/Center | 415 Clendenin St, Beardstown, IL 62618 | 2009-04-21 |
1801932728 | Diane M Morris | Counselor | 415 Clendenin St, Beardstown, IL 62618-1034 | 2007-01-29 |
1679002125 | Michala Nicole Swanger | Counselor | 415 Clendenin St, Beardstown, IL 62618-1034 | 2017-06-08 |
Find all providers in zip 62618 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881291 | Sarah Zeigler Olsen | Nurse Practitioner | 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 | 2020-11-02 |
1467051151 | Mallory Jo Brooks | Nurse Practitioner | 2306 E County Road 1800 N, Carthage, IL 62321-3101 | 2020-10-22 |
1508475294 | Diedra M Ahlert | Nurse Practitioner | 1320 Lexington Dr, Collinsville, IL 62234-4348 | 2020-07-28 |
1679182802 | Danielle L Shubert | Nurse Practitioner | 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 | 2020-07-23 |
1154962900 | Janna Hoppe | Nurse Practitioner | 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 | 2019-10-02 |
1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
1568939684 | Katelyn Marie Reed | Nurse Practitioner | 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 | 2018-10-26 |
1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
Find all providers with the same taxonomy |
City | BEARDSTOWN |
Zip Code | 62618 |
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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.