COURTNEY BROOKE ELLIOTT


Address: 100 W 15th St, Beardstown, IL 62618-1774
Phone: 2173232245

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).

Provider Overview

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

Taxonomy

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

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Office Location

Street Address 100 W 15TH ST
City BEARDSTOWN
State IL
Zip Code 62618-1774

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City BEARDSTOWN
Zip Code 62618

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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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