Active NPI
Courtney Morrison
- Assisted Living Facility
- Petersburg, AK
National Provider Identifier
1609400738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Practice address
- 119 Scow Bay LP Rd
Petersburg, AK 99833-1556 - Phone
- (907) 518-0859
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
119 Scow Bay LP Rd
Petersburg, AK 99833-1556
Mailing address
PO Box 1556
Petersburg, AK 99833-1556
Phone (907) 518-0859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1087188 | Medicaid | AK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | courtneyabird@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1609400738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1556",
"city": "PETERSBURG",
"state": "AK",
"postal_code": "998331556",
"telephone_number": "907-518-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SCOW BAY LP RD",
"city": "PETERSBURG",
"state": "AK",
"postal_code": "998331556",
"telephone_number": "907-518-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1087188",
"state": "AK"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "courtneyabird@gmail.com",
"affiliation": "N",
"address_1": "119 Scow Bay LP RD",
"city": "Petersburg",
"state": "AK",
"country_code": "US",
"postal_code": "998331556",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Petersburg, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.