Courtney Lynn Ivan, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL3332 Issued in FL

Practice address

2699 Lee Rd Ste 100
Winter Park, FL 32789-1738

Phone

(407) 897-1363

NPI assigned

Jul 18, 2013

Last updated

Jul 18, 2013By the provider in NPPES

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

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orlando Orthopaedic Center MD PA

  dba Orlando Orthopaedic Center - WL

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1164154407
  NPD (past)
• Orlando Orthopaedic Center MD PA

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1396931614
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1245672294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 LEE RD STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891738",
            "telephone_number": "407-897-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 LEE RD STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891738",
            "telephone_number": "407-897-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVAN",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Islf Regents Park Winter Park LLC (Regents Park of Winter Park)
• Islf-Regents Park of Winter Park LLC (Westchester of Winter Park)
• Andras Iso, M.D.
• Sakina Issa, M.A
• Nisy Itty, M.H.S, CRC
• Benjamin Ivey
• Ivf Laboratory of Central Florida, LLC
• Ivory Dental Group LLC
• Karen Izquierdo, FNP-BC
• Luis Gabriel Izquierdo, M.D.

• Athletic Trainer in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.