Individual provider Active NPI

Courtney Allison Mercer, BSRT RDMS

  • Sonography Radiologic Technologist
  • Tulsa, OK
National Provider Identifier
1225129398
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
100804
Practice address
1007 S Peoria Ave
Tulsa, OK 74120-4495
Phone
(918) 587-1101
Fax
(918) 592-3024
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 100804 Primary

Addresses

Primary practice location

1007 S Peoria Ave
Tulsa, OK 74120-4495

Mailing address

5780 S Peoria Avenue
Tulsa, OK 74105-7857
Phone (918) 858-5200

Other names 1

  • Courtney Allison Coldwell Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225129398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 S PEORIA AVENUE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057857",
            "telephone_number": "918-858-5200",
            "fax_number": "918-582-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204495",
            "telephone_number": "918-587-1101",
            "fax_number": "918-592-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "COURTNEY",
        "middle_name": "ALLISON",
        "credential": "BSRT RDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "100804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COLDWELL",
            "middle_name": "ALLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.