Active NPI
Courtenay Kadira Joyce Chase, M.D.
- Student in an Organized Health Care Education/Training Program
- Washington, DC
National Provider Identifier
1437834173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- MTL600001700
- Practice address
- 2041 Georgia Avenue NW
Washington, DC 20060 - Phone
- (202) 865-6100
- NPI assigned
- Jun 20, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MTL600001700 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Avenue NW
Washington, DC 20060
Mailing address
1150 Ripley St
Silver Spring, MD 20910
Phone (246) 834-9437
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1437834173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 RIPLEY ST",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20910",
"telephone_number": "246-834-9437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVENUE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20060",
"telephone_number": "202-865-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "COURTENAY",
"middle_name": "KADIRA JOYCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2023-12-21",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DC",
"license": "MTL600001700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.