Individual provider Active NPI

Courtney Alexandra Helm, AGNP-C

  • Nurse Practitioner
  • Manhattan Beach, CA
National Provider Identifier
1477098481
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3017935 Issued in KY
Practice address
219 Manhattan Beach Blvd Ste 3
Manhattan Beach, CA 90266-5324
Phone
(513) 460-7006
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3017935 KY Primary

Addresses

Primary practice location

219 Manhattan Beach Blvd Ste 3
Manhattan Beach, CA 90266-5324

Mailing address

219 Manhattan Beach Blvd Ste 3
Manhattan Beach, CA 90266-5324
Phone (513) 460-7006

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

LicenseStateTypeSpecialty
3017935KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebral Medical Group, a Professional Corporation PastSince Sep 1, 2021 Accepting new patients

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1477098481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MANHATTAN BEACH BLVD STE 3",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665324",
            "telephone_number": "513-460-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MANHATTAN BEACH BLVD STE 3",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665324",
            "telephone_number": "513-460-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELM",
        "first_name": "COURTNEY",
        "middle_name": "ALEXANDRA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.