Courtney Lynne Souza, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

064738 Issued in CT

Practice address

225 Hopmeadow St
Weatogue, CT 06089

Phone

(860) 658-0465

Fax

(860) 658-5963

NPI assigned

May 8, 2015

Last updated

Jan 11, 2026By 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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.souza.npi1457739583.phpct@direct.optumcare.masshiway.net
• FHIR API: https://fhir4.healow.com/fhir/r4/DIBCAA

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053

  Pediatrics

  Medicare reassignment NPD
• Starling Physicians, PLLC

  • Internal Medicine Physician
  • Rocky Hill, CT
  • NPI 1467537290
  Medicare reassignment NPD
• Starling Physicians PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, CT
  • NPI 1760355861
  NPD
• Starling Physicians, PLLC

  dba Starling Physicians PC

  • Mammography Clinic/Center
  • New Britain, CT
  • NPI 1720182991
  NPD (past)
• Blackstone Valley Pediatrics

  • Pediatrics Physician
  • Cumberland, RI
  • NPI 1225227200
  NPD (past)
• Just Kids R.I. Sick Care LLC

  • Pediatrics Physician
  • Cumberland, RI
  • NPI 1811253370
  NPD (past)

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1457739583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOPMEADOW ST",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899782",
            "telephone_number": "860-658-0465",
            "fax_number": "860-658-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOPMEADOW ST",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "06089",
            "telephone_number": "860-658-0465",
            "fax_number": "860-658-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "COURTNEY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "064738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somreeta Sharma, DMD
• Breanne Sills
• Simsbury Pediatric & Adolescent Dentistry, LLC
• Jacqueline Ms Sloan, MD
• Julianne Kelley Smith, M.A. CCC-SLP
• Daniel L Spada, M.D.
• Marissa Lynn Stafford, LMSW
• Russell Stone
• Heather Anne Talledo
• Nicole Thibault, OTR

• Pediatrics Physician in Weatogue, CT
• Providers in Weatogue, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2026; 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.

Verify at the official NPI Registry.