Courtney Mabins

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703120124 Issued in MI

Practice address

21135 La Salle Blvd
Warren, MI 48089-3414

Phone

(734) 925-5032

NPI assigned

Apr 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1710474820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21135 LA SALLE BLVD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480893414",
            "telephone_number": "734-925-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21135 LA SALLE BLVD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480893414",
            "telephone_number": "734-925-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABINS",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703120124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.D. Optical, Warren LTD.
• Jae Joon Ma, DDS
• Maan Askar M.D. P.C
• Maan Jamal M.D.P.C.
• Tyler Mabie
• Jeremy L Mable, PHARMD
• Jevron Manasan Macalino Jr.
• Daniel H Macek, MD
• Wendy Anne Machuta, NURSE PRACTITIONER
• Kameron Maciver, DPT

• Licensed Practical Nurse in Warren, MI
• Providers in Warren, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.