Individual provider Active NPI

Courtney Lynne Chambers, WHNP-BC

  • Women's Health Nurse Practitioner
  • Egg Harbor Township, NJ
National Provider Identifier
1669929782
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00607900 Issued in NJ
Practice address
2500 English Creek Ave Ste 1000
Egg Harbor Township, NJ 08234-5508
Phone
(609) 677-7211
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP016224 PA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 26NJ00607900 NJ
Women's Health Nurse Practitioner 363LW0102X 26NJ00607900 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave Ste 1000
Egg Harbor Township, NJ 08234-5508

Mailing address

2500 English Creek Ave Ste 1000
Egg Harbor Township, NJ 08234-5508
Phone (609) 677-7211

Other practice location 1

16 Aristone Drive
Berlin, NJ 08009
Phone (609) 668-5748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170522000378 NJ Practitioner - Nurse Practitioner 6103193222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

106 Court House S Dennis Rd
Suite 200
Cape May Court House, NJ 08210-1971
Phone (609) 407-2332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016224PAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc CurrentSince May 10, 2017 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Mar 19, 2017 Accepting new patients
Atlanticare Physician Group PA CurrentSince Mar 19, 2017 Accepting new patients
Southern Jersey Family Medical Centers, Inc. CurrentSince May 10, 2017 Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

1125 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-0066

106 Court House South Dennis Rd
Ste 200
Cape May Court House, NJ 08210
Phone (609) 407-2332

2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

2110 New Rd
Ste 2
Linwood, NJ 08221
Phone (609) 407-7765

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

932 S Main St
Pleasantville, NJ 08232
Phone (609) 383-0880

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1669929782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE STE 1000",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345508",
            "telephone_number": "609-677-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE STE 1000",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345508",
            "telephone_number": "609-677-7211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Aristone Drive",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NJ",
            "postal_code": "08009",
            "country_code": "US",
            "telephone_number": "609-668-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "COURTNEY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP016224",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NJ00607900",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00607900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.