Courtney Michelle Amundson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

1919 Lathrop St Ste 222
Fairbanks, AK 99701-5942

Phone

(907) 456-8191

NPI assigned

May 2, 2017

Last updated

May 2, 2017By the provider in NPPES

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

Enrolled in AK

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chena Obstetrics & Gynecology PC

  • Obstetrics & Gynecology Physician
  • Fairbanks, AK
  • NPI 1639271323
  Medicare reassignment NPD
• Fairbanks Memorial Hospital, LLC

  • General Acute Care Hospital
  • Fairbanks, AK
  • NPI 1720537178
  NPD (past)

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1548796261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST STE 222",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015942",
            "telephone_number": "907-456-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST STE 222",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015942",
            "telephone_number": "907-456-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Amberg
• Tameka Annakay Ambersley
• Scott Amestoy, O.D.
• Lauren Amirault, DPT
• Kyndall Ampy Blackburn
• Kristina Amundson, CNM
• Orolmaa Anand
• Kayla Robin Anaver
• Anchorage Community Mental Health Services Inc.
• Anchorage Community Mental Health Services Inc.

• Advanced Practice Midwife in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Advanced Practice Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.