Individual provider Active NPI

Courtney Wilson, CLC

  • Lactation Consultant (Non-RN)
  • Colorado Springs, CO
National Provider Identifier
1275220915
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
7433 River Bend Rd
Colorado Springs, CO 80911-9654
Phone
(303) 263-1618
NPI assigned
Apr 21, 2023
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Lactation Consultant (Non-RN) 174N00000X NU Primary

Addresses

Primary practice location

7433 River Bend Rd
Colorado Springs, CO 80911-9654

Mailing address

7433 River Bend Rd
Colorado Springs, CO 80911-9654
Phone (303) 263-1618

Other practice location 1

309 Jefferson St
Greenfield, OH 45123-1352
Phone (719) 413-8456

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nurture & Nourish, LLC Specialist CurrentSince May 1, 2023 Accepting new patients

Locations

309 Jefferson St
Greenfield, OH 45123
Phone (719) 413-8456

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1275220915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7433 RIVER BEND RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809119654",
            "telephone_number": "303-263-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7433 RIVER BEND RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809119654",
            "telephone_number": "303-263-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "OH",
            "postal_code": "451231352",
            "country_code": "US",
            "telephone_number": "719-413-8456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "COURTNEY",
        "credential": "CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.