Courtney Genene Winterholler, PA - C

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

25MP00462200 Issued in NJ

Practice address

1210 Route 130 N Ste 1438
Cinnaminson, NJ 08077-3046

Phone

(856) 829-0407

NPI assigned

Jan 22, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1053829259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 DAKOTA DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ROUTE 130 N STE 1438",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773046",
            "telephone_number": "856-829-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERHOLLER",
        "first_name": "COURTNEY",
        "middle_name": "GENENE",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "NJ",
            "license": "25MP00462200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Weissbach, MD
• Jacob Widroff, M.D.
• Wikare Health Clinic Inc.
• Lisa N Wilkins-Blount, MA
• William Yee Optometric Services LLC (Apex Vision Eye Care)
• Shahnaz Toossi Winters, RPH
• World One Assist Foundation, Inc.
• Marwa Yacout
• Jonathan Yeung, DMD
• Lenny Zbarsky, RPH

• Clinical Nurse Specialist in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.