Courtney Leigh Roulo, RMA

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

5805 Cedar Lake Rd
Oscoda, MI 48750-9499

Phone

(989) 739-1496

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Medical Assistant

Practice roles

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.

• Ausable Valley Community Mental Health Services Board

  • Community/Behavioral Health Agency
  • Tawas City, MI
  • NPI 1417011701
  NPD (past)

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1447896857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 N US23",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "48750",
            "telephone_number": "989-739-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 CEDAR LAKE RD",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487509499",
            "telephone_number": "989-739-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROULO",
        "first_name": "COURTNEY",
        "middle_name": "LEIGH",
        "credential": "RMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Michigan Inc (Rite Aid Pharmacy 02473)
• Riverside Family Dentistry, P.C.
• Teresa Lamae Robelli, LMSW
• Mikala Robinson
• Nilda Alves Rodrigues
• Dennis Alan Roy, LPC, LMSW, SAP
• Saginaw Vamc
• April Marie Sanders
• Kenneth A Schram
• Marci Marie Schriber, D.C.

• Technician in Oscoda, MI
• Providers in Oscoda, MI by specialty
• Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.