Active NPI
Courtney Lynn Orande
- Radiation Therapy Radiologic Technologist
- Jacksonville, FL
National Provider Identifier
1477175164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Therapy Radiologic Technologist
- License
- CRT67698
- Practice address
- 4500 San Pablo Rd S # D
Jacksonville, FL 32224-1865 - Phone
- (904) 953-1000
- NPI assigned
- May 15, 2020
- Last updated
- May 15, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Radiation Therapy Radiologic Technologist | 2471R0002X | CRT67698 | FL | Primary |
Addresses
Primary practice location
4500 San Pablo Rd S # D
Jacksonville, FL 32224-1865
Mailing address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT67698 | FL | MD | Radiation Therapy Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1477175164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD S # D",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241865",
"telephone_number": "904-953-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORANDE",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2471R0002X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiation Therapy",
"state": "FL",
"license": "CRT67698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
- Optimum Family Health
- Optometry Vision Care PLLC
- Optum Infusion Services 202, Inc.
- Waleska Oquendo-Tirado, M.D.
- Baltazar H Orallo, MD
- Orange Park Hospitalists LLC
- Orange Park Medical Center, Inc. (HCA Florida Normandy Park Emergency, a department of HCA Florida Orange Park Hospital)
- Orange Park Medical Center, Inc. (HCA Florida Park West Emergency, a department of HCA Florida Orange Park Hospital)
- Christopher Brian Orange, PA-C
- Jeannine L Orange
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.