Courtney Dane Carmichael, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

16704 Issued in CA

Practice address

2001 Santa Monica Blvd
Suite 1170 W
Santa Monica, CA 90404-2102

Phone

(310) 828-8399

Fax

(310) 828-8331

NPI assigned

Oct 19, 2006

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1831271196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16335 COMMUNITY ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436211",
            "telephone_number": "818-282-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1170 W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-828-8399",
            "fax_number": "310-828-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "COURTNEY",
        "middle_name": "DANE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "16704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Carley, MFT
• Paul Carlo, LCSW, PHD.
• Carlos Rodriguez Chiropractic, Inc (Prodigy Chiro-Care & Spinal Rehab)
• Sari Susanna Carlson, LCSW
• Sophie Gabrielle Carlson, MD
• Timothy J Carmody, M. D.
• Dwayne Donovan Carney, MD
• Carol E Davis, M.D. Medical Clinic of Ophthalmology, Inc.
• Carol M Lazo, Licensed Professional Clinical Counselor P.C.
• Caroline M Colin, MD PC

• Adult Health Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.