DR. COURTNEY ELYCE WILSON (NPI# 1538600937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538600937 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY ELYCE WILSON |
| Credential | DC |
| Practice Address |
1525 Mesa Verde Dr E Ste 113 Costa Mesa CA 92626-5221 |
| Mailing Address |
21551 Brookhurst St Apt 82 Huntington Beach CA 92646-8049 |
| Practice Telephone | 7149793672 |
| Mailing Telephone | 4088901604 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 33817 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309712 | Courtney Elizabeth Wilson | Technician | 721 Division St W, Huntington, WV 25701-1743 | 2020-09-08 |
| 1154819308 | Courtney Sublett Wilson | Speech-Language Pathologist | 4641 Locksview Rd, Lynchburg, VA 24503-1935 | 2018-04-24 |
| 1134620990 | Courtney Beth Wilson | Massage Therapist | 363 N University Ave Ste 110, Provo, UT 84601-8425 | 2018-02-26 |
| 1831697838 | Courtney Paige Wilson | Social Worker | 4824 N Damen Ave Apt 401, Chicago, IL 60625-1476 | 2018-01-25 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1548796204 | Courtney J Wilson | Nurse Practitioner | 40 Lambert St Ste 522, Staunton, VA 24401-2446 | 2017-05-02 |
| 1699118026 | Courtney Wilson | Home Health Aide | 3085 Clay Pike, Zanesville, OH 43701-8509 | 2013-04-16 |
| 1275820789 | Courtney Nichole Wilson | Rehabilitation Practitioner | 3105 Point Sal Cir, Las Vegas, NV 89128-8102 | 2011-07-05 |
| 1780823161 | Courtney Eller Wilson | Interpreter | 114 S Glenn Dr, Shelby, NC 28152-8004 | 2009-02-09 |
| 1841444395 | Courtney Wilson | Emergency Medicine | 2825 East Barnett Road, Medford, OR 97504-8332 | 2008-11-11 |
| Street Address |
1525 MESA VERDE DR E STE 113 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885389 | Sara Van Dyke | Chiropractor | 1525 Mesa Verde Dr E Ste 108, Costa Mesa, CA 92626-5221 | 2020-03-11 |
| 1851926802 | Kendra Kautz | Chiropractor | 3188 Airway Ave Ste E, Costa Mesa, CA 92626-4652 | 2020-03-10 |
| 1841822699 | Shawn Tabrizi | Chiropractor | 3140 Red Hill Ave Ste 100, Costa Mesa, CA 92626-3400 | 2020-02-10 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| 1063860591 | Connor Upper Cervical Chiropractic of Southern California | Chiropractor | 485 E 17th St Ste 510, Costa Mesa, CA 92627-4719 | 2016-05-25 |
| 1063869345 | Jane Macris | Chiropractor | 2845 Mesa Verde Dr E Ste 6d, Costa Mesa, CA 92626-4858 | 2016-05-17 |
| 1306231303 | Jordan Rio | Chiropractor | 1520 Nutmeg Pl Ste 260, Costa Mesa, CA 92626-2558 | 2015-04-06 |
| 1376981159 | Angela Marie Caraza | Chiropractor | 2900 Bristol St Ste J102, Costa Mesa, CA 92626-7918 | 2013-06-13 |
| 1962742270 | Gooing Chiropractic Clinic Inc | Chiropractor | 2787 Bristol St, Suite 102, Costa Mesa, CA 92626-5956 | 2013-02-22 |
| 1306162607 | Mitzie Lam Chiropractic Inc | Chiropractor | 1755 Orange Ave, Suite B, Costa Mesa, CA 92627-3130 | 2010-04-12 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.