Courtney Kills in Sight, CSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1001 W Broadway
Farmington, NM 87401-5638

Phone

(505) 325-0238

NPI assigned

May 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1679009872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W OAK ST APT A",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874135716",
            "telephone_number": "505-860-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W BROADWAY",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015638",
            "telephone_number": "505-325-0238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Ojo Court",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "87401",
            "country_code": "US",
            "telephone_number": "505-564-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLS IN SIGHT",
        "first_name": "COURTNEY",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-10837",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "X-10837",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Y03950402",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Robert Kernagis, LPCC
• Eric M Ketcham, M.D.
• Samad Siraz Khan, MD
• Lizelle Carino Khieu, PSR
• Sandra Lou Ki
• Jennifer S Kim, M.A., CCC-SLP
• Robin Kimball
• Brittnay N. Kimbell, MD
• Joshua Kincaid
• Benjamin Richard King, CRNA

• Case Manager/Care Coordinator in Farmington, NM
• Providers in Farmington, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.