Courtney Whitehead, OCCUPATIONAL THERAPI

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004619A Issued in IN

Practice address

1813 Kingsley Dr
Anderson, IN 46011-1015

Phone

(765) 635-3754

NPI assigned

Jun 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Newman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hopewell Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Anderson, IN
  • NPI 1093861841
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1366737322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 KINGSLEY DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460111015",
            "telephone_number": "765-635-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 KINGSLEY DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460111015",
            "telephone_number": "765-635-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "COURTNEY",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004619A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "NEWMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• White River Anesthesia, PC
• Emily Robin White, NP-C
• Nytisha Lashea White
• Rashauna Nyvette White
• Tina Marie White, COTA
• Tanya Michelle Whiteman, ATC, LAT, CES
• Carol Lynn Whitesel, R.N.
• Arlus J. Whitfield, D.C.
• Darci Whitted
• Nicole Widener, RBT

• Occupational Therapist in Anderson, IN
• Providers in Anderson, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.