Individual provider Active NPI

Courtney Irving, NP

  • Pediatric Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1457058398
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11024554 Issued in FL
Practice address
1221 Antilles LN
Spring Hill, FL 34606-4506
Phone
(352) 678-5246
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11024554 FL Primary

Addresses

Primary practice location

1221 Antilles LN
Spring Hill, FL 34606-4506

Mailing address

34836 Daisy Meadow Loop
Zephyrhills, FL 33541-8372
Phone (813) 428-2295

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11024554FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Country Pediatrics, PLLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

1221 Antilles Ln
Spring Hill, FL 34606
Phone (352) 678-5246

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2733/brand/1/csg/1/fhir/r4

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1457058398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34836 DAISY MEADOW LOOP",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335418372",
            "telephone_number": "813-428-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ANTILLES LN",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064506",
            "telephone_number": "352-678-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "COURTNEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11024554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.