Active NPI
Courtney Marie Iaquinto Guerrant
- Nurse Practitioner
- Edina, MN
National Provider Identifier
1548872963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11338
- Practice address
- 7380 France Ave S Ste 220
Edina, MN 55435-4537 - Phone
- (651) 341-4291
- NPI assigned
- Aug 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201902527RN | OR | |
| Pediatric Nurse Practitioner | 363LP0200X | 2377252 | MN | |
| Nurse Practitioner | 363L00000X | 11338 | MN | Primary |
Addresses
Primary practice location
7380 France Ave S Ste 220
Edina, MN 55435-4537
Mailing address
7380 France Ave S Ste 220
Edina, MN 55435-4537
Phone (651) 341-4291
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csmith1905@email.arizona.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201902527RN | OR | MD | Registered Nurse |
| 2377252 | MN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Balloon Urgent Care PLLC | Pediatrics | Current | Accepting new patients |
Locations
7380 France Ave S
Ste 220
Minneapolis, MN 55435
Phone (651) 341-4291
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1548872963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7380 FRANCE AVE S STE 220",
"city": "EDINA",
"state": "MN",
"postal_code": "554354537",
"telephone_number": "651-341-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7380 FRANCE AVE S STE 220",
"city": "EDINA",
"state": "MN",
"postal_code": "554354537",
"telephone_number": "651-341-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRANT",
"first_name": "COURTNEY",
"middle_name": "MARIE IAQUINTO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201902527RN",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "2377252",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "11338",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "csmith1905@email.arizona.edu",
"affiliation": "N",
"endpointDescription": "school",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "22 SE 11th Ave Apt 103",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972141392",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.