Courtney Jo Groth

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

7743-PCS Issued in NV

Practice address

3078 Myles Dr
Sparks, NV 89434-6742

Phone

(775) 954-8835

NPI assigned

Aug 2, 2019

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• J&S Senior Services

  • Attendant Care Provider
  • Sparks, NV
  • NPI 1639689458

  Personal Care Attendant

  NPD (past)

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1770138299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 MYLES DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346742",
            "telephone_number": "775-954-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 MYLES DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346742",
            "telephone_number": "775-954-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "COURTNEY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": "7743-PCS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639689458",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SPARKS",
            "affiliation": "N",
            "endpointDescription": "Business location",
            "address_1": "3078 Myles Dr",
            "city": "Sparks",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894346742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darryl Greene
• Frank Greenwood, BA
• Carresa Greer
• Dale Eugene Grensted, D.C.
• David John Gribble
• Timothy Grunert, MD
• Krystal Guajardo, BS
• Rosemary Guardado
• Jassmin Guerrero, DA
• Mario Guerrero

• Personal Care Attendant in Sparks, NV
• Providers in Sparks, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.