Individual provider Active NPI

Courtney Alisha Airington, APRN-CNP

  • Nurse Practitioner
  • Tishomingo, OK
National Provider Identifier
1184028540
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
77397 Issued in OK
Practice address
817 E 6TH St
Tishomingo, OK 73460-1800
Phone
(580) 371-2392
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 77397 OK Primary

Addresses

Primary practice location

817 E 6TH St
Tishomingo, OK 73460-1800

Mailing address

817 E 6TH St
Tishomingo, OK 73460-1800
Phone (580) 371-2392

Other practice location 1

1800 W University Blvd
Durant, OK 74701-3006
Phone (580) 924-3080

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Family Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1184028540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E 6TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601800",
            "telephone_number": "580-371-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E 6TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734601800",
            "telephone_number": "580-371-2392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013006",
            "country_code": "US",
            "telephone_number": "580-924-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIRINGTON",
        "first_name": "COURTNEY",
        "middle_name": "ALISHA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "77397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.