Active NPI
Courtenay Corpe, ATC
- Athletic Trainer
- Minot, ND
National Provider Identifier
1285081539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 492-13
- Practice address
- 500 University Ave W
Minot, ND 58707-0001 - Phone
- (701) 858-3485
- NPI assigned
- May 17, 2016
- Last updated
- May 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 492-13 | ND | Primary |
Addresses
Primary practice location
500 University Ave W
Minot, ND 58707-0001
Mailing address
9250 62ND Ave NW
Burlington, ND 58722-9669
Phone (701) 720-3097
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 492-13 | ND | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1285081539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 62ND AVE NW",
"city": "BURLINGTON",
"state": "ND",
"postal_code": "587229669",
"telephone_number": "701-720-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY AVE W",
"city": "MINOT",
"state": "ND",
"postal_code": "587070001",
"telephone_number": "701-858-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORPE",
"first_name": "COURTENAY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ND",
"license": "492-13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.