Courtney Grace Kivel, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ00434700 Issued in NJ

Practice address

505 Bay Ave
Bayside Commons Suite 101
Somers Point, NJ 08244-2563

Phone

(609) 927-4235

NPI assigned

Sep 26, 2012

Last updated

May 6, 2013By 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 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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.

• Childrens Health Care Associates, Inc

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1598869059
  Medicare reassignment NPD
• Childen's Health Care Associates Inc.

  dba CHCA Nurse Practitioners

  • Pediatric Registered Nurse
  • Philadelphia, PA
  • NPI 1699860643
  NPD
• Childrens Health Care Associates, Inc

  dba CHCA Endocrinology

  • Pediatric Endocrinology Physician
  • Philadelphia, PA
  • NPI 1275628224
  NPD
• Childrens Health Care Associates of New Jersey PC

  dba Chca NJ

  • Pediatrics Physician
  • Voorhees, NJ
  • NPI 1427152917
  NPD (past)
• Chop Clinical Associates, Inc

  dba Care Network Somers Point

  • Pediatrics Physician
  • Somers Point, NJ
  • NPI 1619057437
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1649521907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BAY AVE",
            "address_2": "BAYSIDE COMMONS SUITE 101",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442563",
            "telephone_number": "609-927-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BAY AVE",
            "address_2": "BAYSIDE COMMONS SUITE 101",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442563",
            "telephone_number": "609-927-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVEL",
        "first_name": "COURTNEY",
        "middle_name": "GRACE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00434700",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22 643556",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15920700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Keenan, MD
• Michele Keenan, MSW
• Kelleykare LLC
• Michelle Kiang, M.D.
• Karly King
• Austin Klock
• Philip A Korzeniowski, M.D.
• Elizabeth Krachman
• Joel Ethan Krachman, D.O.
• Michael Saul Krachman, M.D.

• Pediatric Nurse Practitioner in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.