Individual provider Active NPI

Courtney Marie Markey, R.D.N

  • Registered Dietitian
  • Rancho Mirage, CA
National Provider Identifier
1700263522
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1080522 Issued in IL
Practice address
35900 Bob Hope Dr
205
Rancho Mirage, CA 92270-1766
Phone
(760) 778-5220
Fax
(760) 778-5221
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1080522 IL Primary

Addresses

Primary practice location

35900 Bob Hope Dr
205
Rancho Mirage, CA 92270-1766

Mailing address

35900 Bob Hope Dr
205
Rancho Mirage, CA 92270-1766
Phone (760) 778-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310002347 CA Practitioner - Registered Dietitian Or Nutrition Professional 1557667953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1080522ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1700263522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR",
            "address_2": "205",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701766",
            "telephone_number": "760-778-5220",
            "fax_number": "760-778-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR",
            "address_2": "205",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701766",
            "telephone_number": "760-778-5220",
            "fax_number": "760-778-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKEY",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "R.D.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "1080522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.