Individual provider Active NPI

Courtney F Sepic, N.P.

  • Nurse Practitioner
  • Danville, CA
National Provider Identifier
1245222058
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
229614 Issued in MA
Practice address
4165 Blackhawk Plaza Cir
Suite 100
Danville, CA 94506-4904
Phone
(925) 736-7070
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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 229614 MA Primary

Addresses

Primary practice location

4165 Blackhawk Plaza Cir
Suite 100
Danville, CA 94506-4904

Mailing address

4165 Blackhawk Plaza Cir 100
Danville, CA 94506-4691
Phone (925) 736-7070

Other names 1

  • Courtney J Finnegan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140428000465 CA Practitioner - Nurse Practitioner 1951338565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
229614MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jan 1, 2016 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jan 1, 2016 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

3424 Camino Tassajara
Danville, CA 94506
Phone (925) 309-2700

4165 Blackhawk Plaza Cir
Ste 100
Danville, CA 94506
Phone (925) 736-7070

2301 Camino Ramon
Ste 180
San Ramon, CA 94583
Phone (925) 244-1240

120 La Casa Via
Ste 208
Walnut Creek, CA 94598
Phone (925) 256-4045

Interoperability endpoints

  • Direct secure messaging: csepic47166@ehr.johnmuirhealth.com

Organizations & group practices 4

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1245222058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064691",
            "telephone_number": "925-736-7070",
            "fax_number": "925-736-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR",
            "address_2": "SUITE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064904",
            "telephone_number": "925-736-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPIC",
        "first_name": "COURTNEY",
        "middle_name": "F",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "229614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "FINNEGAN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.