Individual provider Active NPI

Debra Christine Courtney

  • Registered Nurse
  • Groveport, OH
National Provider Identifier
1124804919
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
389561 Issued in OH
Practice address
5650 Nutmeg PL
Groveport, OH 43125-9678
Phone
(614) 439-2374
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 389561 OH
Registered Nurse 163W00000X 389561 OH Primary

Addresses

Primary practice location

5650 Nutmeg PL
Groveport, OH 43125-9678

Mailing address

5650 Nutmeg PL
Groveport, OH 43125-9678
Phone (614) 614-4392

Other practice location 1

5650 Nutmeg Pl
Groveport, OH 43125-9678
Phone (614) 439-2374

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

LicenseStateTypeSpecialty
389561OHMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1124804919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 NUTMEG PL",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259678",
            "telephone_number": "614-614-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 NUTMEG PL",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259678",
            "telephone_number": "614-439-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 Nutmeg Pl",
            "address_purpose": "LOCATION",
            "city": "Groveport",
            "state": "OH",
            "postal_code": "431259678",
            "country_code": "US",
            "telephone_number": "614-439-2374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "DEBRA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OH",
            "license": "389561",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "389561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.