Individual provider Active NPI

Angel Cameron Courtney, CRNA

  • Certified Registered Nurse Anesthetist
  • Spanish Fort, AL
National Provider Identifier
1760537211
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9194759 Issued in FL
Practice address
30862 Pine CT
Spanish Fort, AL 36527-8668
Phone
(407) 973-0769
NPI assigned
Jan 24, 2007
Last updated
Feb 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9194759 FL Primary
Certified Registered Nurse Anesthetist 367500000X 1-095484 AL
Certified Registered Nurse Anesthetist 367500000X 0094976 OK

Addresses

Primary practice location

30862 Pine CT
Spanish Fort, AL 36527-8668

Mailing address

30862 Pine CT
Spanish Fort, AL 36527-8668
Phone (407) 973-0769

Other identifiers 3

IdentifierTypeStateIssuer
G3809OtherFLFL BCBS #
P00267635OtherMEDICARE RAILROAD #
ARNP9194759OtherFLFL STATE LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050822000859 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032140835 Reassigns benefits to 4 organizations
I20151106000648 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032140835 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Anesthetist Services LLCGroup PAC ID 8325298458, 149 clinicians

Practice addresses (Care Compare)

5151 N 9TH Ave
Pensacola, FL 32504-8721
Phone (850) 202-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9194759FLMDCertified Registered Nurse Anesthetist
0094976OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2014 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Mar 6, 2017 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 21, 2014 Accepting new patients
Anesthesiologists Associated PC CurrentSince Jul 1, 2022 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Feb 19, 2017 Accepting new patients
Eastern Shore Anesthesia PC CurrentSince Nov 1, 2015 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Feb 19, 2017 Accepting new patients
Mobile Infirmary Association CurrentSince Aug 21, 2019 Accepting new patients
Gulf Regional Pathologists PA Current Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Mar 6, 2017 Accepting new patients
Mobile Infirmary Association CurrentSince Aug 21, 2019 Accepting new patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Hospital CurrentSince Sep 1, 2016 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Unlimited Inc PastSince Dec 6, 2022 Accepting new patients

Locations

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

27961 US Highway 98
Daphne, AL 36526
Phone (251) 435-6850

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486252800000",
    "number": "1760537211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30862 PINE CT",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278668",
            "telephone_number": "407-973-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30862 PINE CT",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278668",
            "telephone_number": "407-973-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "ANGEL",
        "middle_name": "CAMERON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9194759",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-095484",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "0094976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS #",
            "identifier": "G3809",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "P00267635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LIC",
            "identifier": "ARNP9194759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fort, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.