CASEY COURCY (NPI# 1558796680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558796680 |
| Entity Type | Individual |
| Full Name | CASEY COURCY |
| Practice Address |
902 Clint Moore Rd Suite 227 Boca Raton FL 33487-2800 |
| Mailing Address |
339 Tuska Reserve Cv Casselberry FL 32707-4133 |
| Practice Telephone | 8873455300 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2015-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9278548 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
902 CLINT MOORE RD SUITE 227 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33487-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548221963 | Mei Mei Chan | Physician Assistant | 902 Clint Moore Rd, Ste 227, Boca Raton, FL 33487-2800 | 2006-03-28 |
| 1114380441 | Nancy Fox-goughan | Dental Hygienist | 902 Clint Moore Rd, Boca Raton, FL 33487-2800 | 2016-04-04 |
| 1871968842 | New York Senior Dermatology Pllc | Dermatology | 902 Clint Moore Rd, Suite 227, Boca Raton, FL 33487-2800 | 2015-12-02 |
| 1306227269 | Reliable Documents Solutions, LLC | Specialist/Technologist, Other | 902 Clint Moore Rd, Ste 114, Boca Raton, FL 33487-2800 | 2015-06-16 |
| 1710373352 | On Site Dermatology of South Carolina LLC | Dermatology | 902 Clint Moore Rd, Suite 227, Boca Raton, FL 33487-2800 | 2015-04-10 |
| 1811389539 | On Site Dermatology of New Jersey, LLC | Dermatology | 902 Clint Moore Rd, Suite 227, Boca Raton, FL 33487-2800 | 2015-03-04 |
| 1124437041 | On Site Dermatology of Maine LLC | Dermatology | 902 Clint Moore Rd, Suite 227, Boca Raton, FL 33487-2800 | 2014-08-05 |
| 1801217864 | On Site Dermatology of Massachusetts, LLC | Dermatology | 902 Clint Moore Rd, 227, Boca Raton, FL 33487-2800 | 2013-12-18 |
| 1326473661 | On Site Dermatology of Connecticut LLC | Dermatology | 902 Clint Moore Rd, Suite 226, Boca Raton, FL 33487-2800 | 2013-09-05 |
| 1558639757 | Jag Lab LLC | Clinical Medical Laboratory | 902 Clint Moore Rd, Suite 225, Boca Raton, FL 33487-2800 | 2011-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
| 1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
| 1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
| 1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
| 1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
| 1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| Find all providers in zip 33487 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799790 | Jennmobilemed, Inc. | Nurse Practitioner | 631 Sw 17th Ct, Boca Raton, FL 33486-6413 | 2020-10-29 |
| 1063029759 | Ayla Charm | Nurse Practitioner | 9738 Richmond Cir, Boca Raton, FL 33434-2315 | 2020-09-26 |
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1710515564 | Pcp 1st | Nurse Practitioner | 17188 Newport Club Dr, Boca Raton, FL 33496-3009 | 2020-03-28 |
| 1083179030 | Mylinh Seagull | Nurse Practitioner | 19664 Dinner Key Dr, Boca Raton, FL 33498-4538 | 2019-02-04 |
| 1629580469 | Marcia Iesha Walker | Nurse Practitioner | 777 Glades Rd Rm 102, Boca Raton, FL 33431-6424 | 2017-11-02 |
| 1891206041 | Premier Medical Housecalls LLC | Nurse Practitioner | 1825 Nw Corporate Blvd Ste 110, Boca Raton, FL 33431-8554 | 2017-10-16 |
| 1962911859 | Arielle Tsiporah Moskowitz | Nurse Practitioner | 7258 Arcadia Court, Boca Raton, FL 33433 | 2017-09-24 |
| 1740705607 | Michelle Karen Feffer | Nurse Practitioner | 1500 Nw 10th Ave Ste 101, Boca Raton, FL 33486-1344 | 2017-08-11 |
| 1497209126 | Mia Abraham | Nurse Practitioner | 825 Meadows Rd Ste 811, Boca Raton, FL 33486-2347 | 2016-08-10 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33487 |
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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.