Courtney R Choo, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17884 Issued in TN

Practice address

1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454

Phone

(865) 588-5121

Fax

(865) 588-5126

NPI assigned

Oct 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Courtney R Head Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Minuteclinic Diagnostic of Tennessee PC

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1457323164
  Medicare reassignment NPD
• Pain Consultants of East Tennessee, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Knoxville, TN
  • NPI 1609890383
  Medicare reassignment NPD
• Behavioral Medicine Institute PC

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1073674552
  NPD (past)

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1417384264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59002",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379509002",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092454",
            "telephone_number": "865-588-5121",
            "fax_number": "865-588-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOO",
        "first_name": "COURTNEY",
        "middle_name": "R",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012609",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HEAD",
            "middle_name": "R",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarkis John Chobanian, MD
• John Paul Chohanin
• Choice Medical, Inc.
• Choice O&P, LLC
• Choices in Senior Care, LLC
• James J Choo, MD
• Soonja Shin Choo
• Choto Family & Cosmetic Dentistry, PLLC
• Choto Family Dentistry
• Priscilla Ayodele Jeneba Choukroun, PA-C

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.