Kelly C Courtney

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

400328-1 Issued in NY

Practice address

2760 Wheeler Station Rd
Bloomfield, NY 14469-9326

Phone

(585) 750-8638

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1144944919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 WHEELER STATION RD",
            "city": "BLOOMFIELD",
            "state": "NY",
            "postal_code": "144699326",
            "telephone_number": "585-750-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 WHEELER STATION RD",
            "city": "BLOOMFIELD",
            "state": "NY",
            "postal_code": "144699326",
            "telephone_number": "585-750-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "KELLY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "400328-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Paul Acquilano, PSY.D.
• Martha Jean Austin, CNA
• Nancy Jean Benton, L.AC.
• Bloomfield Oral Health
• Sarah Boonstra, LPN
• Gabrielle Hannah D'Angelo, M.S., CCC-SLP
• East Bloomfield Central School
• Katheryne Mae Ellis, OTR/L
• Julie S. Eveleigh, LCSW
• Deedra A Galarneau, M.S., CCC-SLP

• All providers in Bloomfield, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.