Courtney Tiller, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN9325843 Issued in FL

Practice address

100 W Gore St Ste 405
Orlando, FL 32806-1049

Phone

(321) 841-9340

Fax

(321) 841-9344

NPI assigned

Jan 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  Medicare reassignment NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD
• Child Neurology Center of Orlando, P.a.

  • Specialist
  • Orlando, FL
  • NPI 1255396875
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1487043899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 405",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061049",
            "telephone_number": "321-841-9340",
            "fax_number": "321-841-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST STE 405",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061049",
            "telephone_number": "321-841-9340",
            "fax_number": "321-841-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Turkey Lake Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328194206",
            "country_code": "US",
            "telephone_number": "407-649-1848",
            "fax_number": "407-649-1979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLER",
        "first_name": "COURTNEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9325843",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN9325843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Tieken, PT, DPT
• Jung-Jung Tien, MD
• Christina Tiernan
• Willow Michele Tierney
• Tikkun Dental Group PA
• Rebecca Tillery, PA-C
• Marta Lynn Tilley, LCSW
• Allison Ann Tillman
• Martell Tillman
• Contricka Towana Tillquist

• Pediatric Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.