Active NPI
Courtney Eva McLean, NP
- Women's Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1427500172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F421266-1
- Practice address
- 220 Saint Nicholas Ave
Brooklyn, NY 11237-4807 - Phone
- (718) 418-8745
- NPI assigned
- Oct 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F421266-1 | NY | Primary |
Addresses
Primary practice location
220 Saint Nicholas Ave
Brooklyn, NY 11237-4807
Mailing address
220 Saint Nicholas Ave
Brooklyn, NY 11237-4807
Phone (718) 418-8745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F421266-1 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Health TN, PC | Women'S Health | Current | Accepting new patients |
Locations
300 Stonecrest Blvd
Ste 310
Smyrna, TN 37167
Phone (629) 206-6858
300 Northcrest Blvd Ste 302
Springfield, TN 37172
Interoperability endpoints
- courtney.mclean.1@23211.direct.athenahealth.com
- cmclean@direct.neighborhoodhealthtn.nextgenshare.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1427500172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SAINT NICHOLAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374807",
"telephone_number": "718-418-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SAINT NICHOLAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374807",
"telephone_number": "718-418-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "COURTNEY",
"middle_name": "EVA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-28",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F421266-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.