Individual provider Active NPI

Angela N Courtney, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1326438409
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.17041-NP Issued in OH
Practice address
2195 Allentown Rd
Lima, OH 45805-1705
Phone
(419) 227-2245
Fax
(419) 229-1573
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.17041-NP OH Primary

Addresses

Primary practice location

2195 Allentown Rd
Lima, OH 45805-1705

Mailing address

PO Box 636372
Cincinnati, OH 45263-6372
Phone (513) 981-5123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150313002040 OH Practitioner - Nurse Practitioner 8224354006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

5915 N Main St
Dayton, OH 45415-3104
Phone (937) 278-3826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Oct 11, 2024 Accepting new patients
Caremed Ohio LLC CurrentSince Mar 7, 2023 Accepting new patients
Lima Memorial Joint Operating Company PastSince Nov 4, 2022 Accepting new patients

Locations

65 Ramapo Valley Rd
Ste 102B
Mahwah, NJ 07430
Phone (614) 774-7988

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

5915 N Main St
Dayton, OH 45415
Phone (937) 278-3826

117 Jacob Parrot Rd
Kenton, OH 43326
Phone (419) 674-4197

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1326438409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636372",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636372",
            "telephone_number": "513-981-5123",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051705",
            "telephone_number": "419-227-2245",
            "fax_number": "419-229-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "ANGELA",
        "middle_name": "N",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17041-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.