Courtney O'Connor

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028046 Issued in CA

Practice address

1647 N California Blvd
Walnut Creek, CA 94596-4126

Phone

(925) 708-7170

NPI assigned

Oct 7, 2024

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

• Courtney Newlin Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Christina Chavez-Johnson MD, Inc

  • Family Medicine Physician
  • San Ramon, CA
  • NPI 1336955699
  NPD
• Gateway Home Health Corp.

  • Home Health Agency
  • San Ramon, CA
  • NPI 1861846693
  NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1275352304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NORRIS CANYON TER",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831493",
            "telephone_number": "925-708-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 N CALIFORNIA BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964126",
            "telephone_number": "925-708-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "NEWLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• O Medical Inc.
• Alison Mary O'Brien
• Georgette O'Brien
• Thomas David O'Connor-Coates
• Brian P O'Connor II, M.D., MPH
• Elizabeth O'Connor, PH.D.
• David Lee O'Dell, MD
• Katrina O'Dell
• David D. O'Grady, PH.D.
• Susan J. O'Grady, PH.D.

• Family Nurse Practitioner in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.