Courtney Menard Neidetcher, RN BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

189273 Issued in CO

Practice address

7701 Sheridan Blvd
Westminster, CO 80003-2605

Phone

(720) 209-7200

NPI assigned

May 1, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1730323932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-614-1400",
            "fax_number": "303-614-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800032605",
            "telephone_number": "720-209-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDETCHER",
        "first_name": "COURTNEY",
        "middle_name": "MENARD",
        "name_prefix": "Mrs.",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "189273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Navarro
• Susan Navilliat, OTR/L
• Navitas Colorado, LLC
• Carol Diane Navsky, MD
• Sonja Franchesca Nazareth, MD
• Justin Bowen Neisler, M.D.
• Andre Neitzel
• Christine L. Nelson, D.C.
• Kayla Sue Nelson, LPC, NCC, MA
• Randall J. Nelson, D.C.

• Registered Nurse in Westminster, CO
• Providers in Westminster, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.