Individual provider Active NPI

Jenny Courtney, M.D.

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1396799250
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30505 Issued in AZ
Practice address
9883 E Desert Jewel Dr
Suite 1
Scottsdale, AZ 85255-9222
Phone
(602) 315-1745
NPI assigned
May 22, 2006
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30505 AZ Primary
Obstetrics & Gynecology Physician 207V00000X 30505 AZ

Addresses

Primary practice location

9883 E Desert Jewel Dr
Suite 1
Scottsdale, AZ 85255-9222

Mailing address

9883 E Desert Jewel Dr
Suite 1
Scottsdale, AZ 85255-9222
Phone (480) 465-0006

Other identifiers 1

IdentifierTypeStateIssuer
791948MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060825000307 AZ Practitioner - Obstetrics/Gynecology 2769486158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30505AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Phoenix PC CurrentSince Oct 1, 2014 Accepting new patients
Obstetrix Medical Group of Phoenix PC CurrentSince Oct 1, 2014 Accepting new patients
Honorhealth Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1331 N 7th St
Ste 2
Phoenix, AZ 85006
Phone (602) 257-8118

4722 N 24th St
Ste 150
Phoenix, AZ 85016
Phone (602) 256-4628

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

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, 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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1396799250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9883 E DESERT JEWEL DR",
            "address_2": "SUITE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559222",
            "telephone_number": "480-465-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9883 E DESERT JEWEL DR",
            "address_2": "SUITE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559222",
            "telephone_number": "602-315-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "JENNY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30505",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "30505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "791948",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.