Active NPI
Courtney R Blumer, D.V.M.
- Veterinarian
- Marathon, FL
National Provider Identifier
1104282656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- VM13586
- Practice address
- 5001 Overseas Hwy
Marathon, FL 33050-2621 - Phone
- (305) 743-7099
- NPI assigned
- Jan 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | VM13586 | FL | Primary |
| Veterinarian | 174M00000X | VET 21240 | CA |
Addresses
Primary practice location
5001 Overseas Hwy
Marathon, FL 33050-2621
Mailing address
5001 Overseas Hwy
Marathon, FL 33050-2621
Phone (305) 743-7099
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VET 21240 | CA | MD | Veterinarian |
| VM13586 | FL | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1104282656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 OVERSEAS HWY",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502621",
"telephone_number": "305-743-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 OVERSEAS HWY",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502621",
"telephone_number": "305-743-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMER",
"first_name": "COURTNEY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.V.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "FL",
"license": "VM13586",
"primary": true
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "CA",
"license": "VET 21240",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.