Courtney Williams

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

C-APN.0001360-C-NP Issued in CO

Practice address

12061 Tejon St Ste 600
Westminster, CO 80234-2325

Phone

(303) 457-0123

Fax

(303) 252-4065

NPI assigned

Mar 5, 2019

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Group LLCGroup PAC ID 5698938298, 2 clinicians

Mile High Spine and Pain Center LLCGroup PAC ID 9739602947, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mile High Spine and Pain Center LLC

  • Adult Medicine Physician
  • Westminster, CO
  • NPI 1982403143

  CO, Family

  Medicare reassignment Care Compare group NPD
• Spine Group LLC

  • Multi-Specialty Clinic/Center
  • Westminster, CO
  • NPI 1033486006

  CO

  Medicare reassignment Care Compare group NPD
• Koena LLC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1295413417
  NPD

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1124586573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12061 TEJON ST STE 600",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342325",
            "telephone_number": "303-457-0123",
            "fax_number": "303-252-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12061 TEJON ST STE 600",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342325",
            "telephone_number": "303-457-0123",
            "fax_number": "303-252-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001360-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl M Willett, RN
• William G Self Jr MD PC
• William G Self Jr MD PC
• Bri Williams
• Christine Rose Williams, R.M.T.
• Isabella Williams, RBT
• Jordyn Marlene Williams, LCSW
• Joshua Williams, PHARMD
• Megan Williams, PHARMD
• Robert C Williams, M.D.

• Family Nurse Practitioner in Westminster, CO
• Providers in Westminster, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.