Individual provider Active NPI

Courtney Beth Conner

  • Podiatrist
  • Bowling Green, KY
National Provider Identifier
1578051926
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
267620 Issued in KY
Practice address
1850 Western St
Bowling Green, KY 42104-4152
Phone
(270) 846-3338
Fax
(270) 846-3318
NPI assigned
May 1, 2018
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 99086879A IN
Podiatrist 213E00000X 267620 KY Primary

Addresses

Primary practice location

1850 Western St
Bowling Green, KY 42104-4152

Mailing address

10122 E 10TH St Ste 100
Indianapolis, IN 46229-2697

Other names 1

  • Courtney Beth Billington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823003119 KY Practitioner - Podiatry 7517212962 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Middlesex University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Practice addresses (Care Compare)

117 Tradepark Dr
Suite B
Somerset, KY 42503-3428
Phone (606) 679-2773

125 Memorial Dr
Suite 400
Franklin, KY 42134-2752
Phone (270) 813-0948

1850 Westen St
Bowling Green, KY 42104-4152
Phone (270) 846-3338

1850 Western St
Bowling Green, KY 42104
Phone (270) 846-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue81
Removal of skin lesions34
Removal of nail tissue962
Removal or shaving of skin growth310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Foot & Ankle Centers CurrentSince Jul 1, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince May 5, 2022 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince May 5, 2022 Accepting new patients
Vital Path Care PC Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Cumberland Foot and Ankle Centers CurrentSince Jul 1, 2021 Accepting new patients

Locations

1850 Westen St
Bowling Green, KY 42104
Phone (270) 846-3338

479 Whirlaway Dr
#A
Danville, KY 40422
Phone (606) 679-2773

125 Memorial Dr
Ste 400
Franklin, KY 42134
Phone (270) 813-0948

49 Gregory St
Monticello, KY 42633
Phone (606) 343-0289

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

115 N Keeneland Dr
Richmond, KY 40475
Phone (859) 623-6157

2868 S Highway 127
Russell Springs, KY 42642
Phone (270) 866-6404

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

117 Tradepark Dr
Ste B
Somerset, KY 42503
Phone (606) 679-2773

49 Medical Loop
Whitley City, KY 42653

Interoperability endpoints

  • Direct secure messaging: courtney.conner.1@4399.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1578051926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10122 E 10TH ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WESTERN ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044152",
            "telephone_number": "270-846-3338",
            "fax_number": "270-846-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "COURTNEY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2021-11-04",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "99086879A",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "267620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BILLINGTON",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.