Courtney Regan Herbert, MD, MPH

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101241553 Issued in VA

Practice address

1715 North George Mason Drive
Suite 406
Arlington, VA 22205

Phone

(703) 310-7400

Fax

(703) 574-3184

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Westside Dermatology Associates a Professional Medical Corporation

  • Specialist
  • Gretna, LA
  • NPI 1588725808
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1740341486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 NORTH GEORGE MASON DRIVE",
            "address_2": "SUITE 406",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22205",
            "telephone_number": "703-310-7400",
            "fax_number": "703-574-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 NORTH GEORGE MASON DRIVE",
            "address_2": "SUITE 406",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22205",
            "telephone_number": "703-310-7400",
            "fax_number": "703-574-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "COURTNEY",
        "middle_name": "REGAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD036339",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101241553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin L Henry, PA-C
• Lakeia Henry, FNP-BC
• Jennifer Hensarling, N.P.
• Christin Hensley, RD
• Helen Haerin Her, LCSW
• Pattie Hale Herbst, PMHNP
• Conner Wyatt Herman
• Gabriel Herman
• Crystal O Hermano, FNP
• Rebecca Hernandez-Hamilton, LPC, LMFT

• Dermatology Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.