Individual provider Active NPI

Courtney Elizabeth Epling, P.A.

  • Physician Assistant
  • Glen Daniel, WV
National Provider Identifier
1407180599
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
438 Issued in WV
Practice address
6435 Harper Road
Glen Daniel, WV 25844
Phone
(304) 934-6400
Fax
(304) 934-7400
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 438 WV Primary

Addresses

Primary practice location

6435 Harper Road
Glen Daniel, WV 25844

Mailing address

308 Bee Branch Road
P.O. Box 143
Glen Daniel, WV 25844
Phone (304) 934-8119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20160406000435 WV Practitioner - Physician Assistant 4183922214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
438WVMDClinical Psychologist

Organizations & group practices 1

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1407180599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 BEE BRANCH ROAD",
            "address_2": "P.O. BOX 143",
            "city": "GLEN DANIEL",
            "state": "WV",
            "postal_code": "25844",
            "telephone_number": "304-934-8119",
            "fax_number": "304-934-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 HARPER ROAD",
            "city": "GLEN DANIEL",
            "state": "WV",
            "postal_code": "25844",
            "telephone_number": "304-934-6400",
            "fax_number": "304-934-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPLING",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Daniel, WV

Sources for this page

Verify at the official NPI Registry.