Active NPI
Courtney Elizabeth Wilkins, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Plymouth, MN
National Provider Identifier
1083336614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 2458429
- Practice address
- 11505 36TH Ave N
Plymouth, MN 55441-2304 - Phone
- (763) 509-3968
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 2458429 | MN | Primary |
Addresses
Primary practice location
11505 36TH Ave N
Plymouth, MN 55441-2304
Mailing address
1131 Orkla Dr
Golden Valley, MN 55427-4441
Phone (763) 670-0369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2458429 | MN | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1083336614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 ORKLA DR",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274441",
"telephone_number": "763-670-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11505 36TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412304",
"telephone_number": "763-509-3968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "2458429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
- Thane David Widmer, DPT
- Krista Jean Wieneke
- Jennifer Lynn Wiita, CRNA
- Wild Flower Health Care Services, Inc.
- Mark Steven Wilke, M.D.
- Bridget Pauline Williams, PHARMD
- Gary L Williams, D.D.S.
- Keairra Latrece Williams
- Roshaunta Jacquese Evora Williams, BA AFRICAN AMERICAN
- Susan Ora Williams, MSW, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.