Individual provider Active NPI

Courtney A Macmahon

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1366863169
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9296112 Issued in FL
Practice address
8900 North Kendall Drive
Miami, FL 33176
Phone
(786) 596-1960
NPI assigned
Dec 20, 2013
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9296112 FL Primary
Registered Nurse 163W00000X 9296112 FL

Addresses

Primary practice location

8900 North Kendall Drive
Miami, FL 33176

Mailing address

1613 Harrison Pkwy
Suite 200, Mailstop SH-9a
Sunrise, FL 33323-2896
Phone (954) 838-2371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727002894 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789815739 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Consultants LTDGroup PAC ID 0941107478, 39 clinicians
Collins Carson City Anesthesia LLCGroup PAC ID 5799141016, 9 clinicians
Digestive Health AssociatesGroup PAC ID 0547247082, 38 clinicians

Practice addresses (Care Compare)

10619 Professional Cir
Reno, NV 89521-5831
Phone (775) 329-4600

1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567

655 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 829-7600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9296112FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Amin, Dunckelmeyer and Luu PLLC CurrentSince Aug 1, 2023 Accepting new patients
Gastroenterology Consultants, LTD CurrentSince Oct 15, 2023 Accepting new patients
Red Rock Anesthesia Consultants LLC CurrentSince Jul 1, 2023 Accepting new patients
Collins Carson City Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2024 Accepting new patients
Digestive Health Associates CurrentSince Dec 27, 2022 Accepting new patients
South Meadows Endoscopy Center, LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

1385 Vista Ln
Carson City, NV 89703
Phone (775) 329-4600

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010

10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600

655 Sierra Rose Dr
Reno, NV 89511
Phone (775) 829-7600

880 Ryland St
Reno, NV 89502
Phone (775) 329-4600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1366863169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE 200, MAILSTOP SH-9A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 NORTH KENDALL DRIVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "786-596-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMAHON",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9296112",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9296112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.