Courtney Bickerstaff Apn,PLLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

A03082 Issued in AR

Legal business name

COURTNEY BICKERSTAFF APN,PLLC

Practice address

1309 Ashlea Place Dr
Bryant, AR 72022-9159

Phone

(501) 909-1153

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Courtney Camille Bickerstaff, APN

Title

Apn

Phone

(501) 909-1153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1295071322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 ASHLEA PLACE DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229159",
            "telephone_number": "501-909-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 ASHLEA PLACE DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229159",
            "telephone_number": "501-909-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY BICKERSTAFF APN,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "BICKERSTAFF",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "501-909-1153",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AR",
            "license": "A03082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Cook, LMT
• Jeffrey Douglas Coppock, MS PT
• Robin Coppock, OTRL
• Amanda Nicole Cordell, COTA
• Cornerstone Pharmacy Bryant LLC
• Sara Elizabeth Cowling
• Olivia Madison Cox
• Cathi Cranston, CCC-SLP
• Nicholas Crump, PA
• Jada Nicori Crusterson

• All providers in Bryant, AR
• Nursing Facility/Intermediate Care Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.