Active NPI
Ashley Nicole Courtney, PA
- Physician Assistant
- Bethel, CT
National Provider Identifier
1225703606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 23.005357
- Practice address
- 24 Drummers LN
Bethel, CT 06801-2019 - Phone
- (865) 693-0175
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 23.005357 | CT | Primary |
Addresses
Primary practice location
24 Drummers LN
Bethel, CT 06801-2019
Mailing address
24 Drummers LN
Bethel, CT 06801-2019
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23.005357 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Advanced Pediatrics, P.C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Norwalk, CT
- NPI 1750305017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1225703606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 DRUMMERS LN",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 DRUMMERS LN",
"city": "BETHEL",
"state": "CT",
"postal_code": "068012019",
"telephone_number": "865-693-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "23.005357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.