Active NPI
Jameel Courtney, HEALTH EDUCATOR
- Health Educator
- Natchitoches, LA
National Provider Identifier
1447858014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- OMC-LC102
- Practice address
- 1640 Breazeale Springs St
Natchitoches, LA 71457-4278 - Phone
- (318) 352-9299
- NPI assigned
- Oct 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | OMC-LC107 | LA | |
| Health Educator | 174H00000X | OMC-LC102 | LA | Primary |
Addresses
Primary practice location
1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Mailing address
1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Phone (318) 352-9299
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OMC-LC102 | LA | MD | Health Educator |
| OMC-LC107 | LA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1447858014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 BREAZEALE SPRINGS ST",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714574278",
"telephone_number": "318-352-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 BREAZEALE SPRINGS ST",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714574278",
"telephone_number": "318-352-9299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY",
"first_name": "JAMEEL",
"credential": "HEALTH EDUCATOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "LA",
"license": "OMC-LC107",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "LA",
"license": "OMC-LC102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.