Individual provider Active NPI

Courtney Burton, APN

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1609495688
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023306 Issued in PA
Practice address
1233 Locust St
Philadelphia, PA 19107-5453
Phone
(215) 790-1788
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR20799000 NJ
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 26NJ01174700 NJ
Family Nurse Practitioner 363LF0000X SP023306 PA Primary
Registered Nurse 163W00000X RN673587 PA

Addresses

Primary practice location

1233 Locust St
Philadelphia, PA 19107-5453

Mailing address

1233 Locust St
Philadelphia, PA 19107-5453
Phone (215) 790-1788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714002175 PA Practitioner - Nurse Practitioner 9032579693 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR20799000NJMDRegistered Nurse
RN673587PAMDRegistered Nurse
26NJ01174700NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Fight CurrentSince Jul 15, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Multi-Specialty CurrentSince Jul 24, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 24, 2023 Accepting new patients
Philadelphia Fight Multi-Specialty Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Multi-Specialty Current Accepting new patients
Zufall Health Center,Inc Past Accepting new patients

Locations

4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1233 Locust St
Fl 5
Philadelphia, PA 19107
Phone (215) 790-1788

1233 Locust St
Fl 3
Philadelphia, PA 19107
Phone (267) 725-0252

1233 Locust St
Philadelphia, PA 19107
Phone (215) 790-1788

1207 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 525-8600

1233 Locust St
Ste 500
Philadelphia, PA 19107
Phone (215) 790-1788

Interoperability endpoints

  • Direct secure messaging: cburton2904206@direct.trinity-health.org

Organizations & group practices 6

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1609495688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075453",
            "telephone_number": "215-790-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075453",
            "telephone_number": "215-790-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "COURTNEY",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR20799000",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01174700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023306",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN673587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.