Caitlin Eileen Decoursey, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95061105 Issued in CA

Practice address

2311 E Ocean Blvd
Long Beach, CA 90803-2443

Phone

(949) 878-1862

NPI assigned

Oct 2, 2021

Last updated

Oct 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caitlin Eileen De Coursey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1245902741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 E OCEAN BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032443",
            "telephone_number": "949-878-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E OCEAN BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032443",
            "telephone_number": "949-878-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOURSEY",
        "first_name": "CAITLIN",
        "middle_name": "EILEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95061105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "DE COURSEY",
            "middle_name": "EILEEN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Lowery Deck, PHD
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• Corinne Marie Decoste, LCSW
• Jennifer Dee, OTR/L
• Ziad L Deeb, MD
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• Margret Deer, NP
• Trisha Deeter

• Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.