Courtney Elizabeth Raker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

52027 Issued in CT

Practice address

25 Valley Dr
#4
Greenwich, CT 06831-5203

Phone

(203) 622-4301

NPI assigned

Jun 10, 2014

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

Other names 1

• Dr. Courtney Elizabeth Spada Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwich, CT
  • NPI 1265477780
  NPD (past)
• Family Centers Inc

  • Health Service Clinic/Center
  • Stamford, CT
  • NPI 1790818516
  NPD (past)
• Family Centers Inc.

  • Multi-Specialty Clinic/Center
  • Greenwich, CT
  • NPI 1235588625
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1073926747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VALLEY DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315203",
            "telephone_number": "203-622-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 VALLEY DR",
            "address_2": "#4",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315203",
            "telephone_number": "203-622-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKER",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "52027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SPADA",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Radiation Services of Greenwich, LLC
• Nicholas Ragovis, M.D.
• Kaitlyn Rahtelli, PA-C
• Jennifer Rai
• Sabitha Rajan, M.D.
• David Daniel Ramos, PT
• Evelyn Ramos
• Danielle Ramsden, M.D.
• Sunil Rana, MD
• Randall a. Moore, DMD,PC

• Pediatrics Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.