Active NPI
Audrey Budarz Courtney, APRN
- Pediatric Nurse Practitioner
- Hartford, CT
National Provider Identifier
1467516013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 000335
- Practice address
- 114 Woodland St
Hartford, CT 06105-1208 - Phone
- (860) 714-5052
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 000335 | CT | Primary |
Addresses
Primary practice location
114 Woodland St
Hartford, CT 06105-1208
Mailing address
9 Tobias CT
Vernon, CT 06066-5720
Phone (860) 871-1693
Other practice location 1
85 Seymour St
Hartford, CT 06106-5501
Phone (860) 837-5890
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acourtney25807@connecticutchildrens.direct-ci.com |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000335 | CT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1467516013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 TOBIAS CT",
"city": "VERNON",
"state": "CT",
"postal_code": "060665720",
"telephone_number": "860-871-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051208",
"telephone_number": "860-714-5052"
}
],
"practiceLocations": [
{
"address_1": "85 Seymour St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061065501",
"country_code": "US",
"telephone_number": "860-837-5890",
"fax_number": "860-545-8085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COURTNEY",
"first_name": "AUDREY",
"middle_name": "BUDARZ",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "000335",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acourtney25807@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "85 Seymour St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061065501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.