Active NPI
Devon Courtney, PA-C
- Medical Physician Assistant
- Hockessin, DE
National Provider Identifier
1376909226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C5-0001043
- Practice address
- 502 Lantana Dr
Hockessin, DE 19707-8813 - Phone
- (302) 763-3455
- NPI assigned
- Jan 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1487010096
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1649749094
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 |
|---|---|---|---|
| C5-0001043 | DE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laisse Enterprises Inc | Past | Accepting new patients | |
| MW Wellness XI, LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C5-0001043 | DE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
502 Lantana Dr
Hockessin, DE 19707-8813
Mailing address
109 Nantucket Dr
Middletown, DE 19709-8987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2016.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1376909226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 NANTUCKET DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197098987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 LANTANA DR",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197078813",
"telephone_number": "302-763-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY",
"first_name": "DEVON",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DE",
"license": "C5-0001043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hockessin, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.