Courtney Nicole Reardon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

82414501 Issued in NY

Practice address

411 W 3Rd St
Jamestown, NY 14701-4801

Phone

(716) 487-2273

Fax

(716) 484-9584

NPI assigned

Dec 7, 2022

Last updated

Aug 3, 2026By the provider in NPPES

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

Other names 1

• Courtney Nicole Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1750092086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ACADEMY ST RM 201",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147014801",
            "telephone_number": "716-487-2273",
            "fax_number": "716-484-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "82414501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CAMPBELL",
            "middle_name": "NICOLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bert W Rappole, MD
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• Shelby Lynn Reagle, PTA
• Reda Elsayed Shedeed Physician PC
• Peter J Reden, MD
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• Rehabilitation Specialists Physical Therapy, Occupational Therapy, Spe (Rehabilitation Specialists)

• Registered Nurse in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.