Courtney Marie Stuckey, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001219 Issued in MI

Practice address

3685 Butternut Dr
Holland, MI 49424-5439

Phone

(616) 994-5048

NPI assigned

Nov 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holland Community Hospital

  • Family Medicine Physician
  • Hudsonville, MI
  • NPI 1952130585
  NPD (past)

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1528465002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 N WELLNESS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494247269",
            "telephone_number": "616-355-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 BUTTERNUT DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494245439",
            "telephone_number": "616-994-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Strong, DO
• Shalon Opal Strong, LMT
• Ishara Struntz
• Sarah Stryd, LMSW
• Lynn Richards Stubbs, LMSW, ACSW
• Marissa Stuk, PA
• Bryan Stutzman
• Sarah Marie Sukumaran, LCSW, LMSW, MPH
• Daniel James Sullivan
• Sunflower Families LLC

• Athletic Trainer in Holland, MI
• Providers in Holland, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.