Individual provider Active NPI

Linda Russell Courtice, RN

  • Registered Nurse
  • Des Plaines, IL
National Provider Identifier
1518067271
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041184344 Issued in IL
Practice address
2993 Curtis St
#10
Des Plaines, IL 60018-5626
Phone
(847) 824-4322
NPI assigned
Sep 23, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041184344 IL Primary

Addresses

Primary practice location

2993 Curtis St
#10
Des Plaines, IL 60018-5626

Mailing address

2993 Curtis St
#10
Des Plaines, IL 60018-5626
Phone (847) 824-4322

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041184344ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1518067271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 CURTIS ST",
            "address_2": "#10",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185626",
            "telephone_number": "847-824-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 CURTIS ST",
            "address_2": "#10",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185626",
            "telephone_number": "847-824-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTICE",
        "first_name": "LINDA",
        "middle_name": "RUSSELL",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041184344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.