Courtney L Witherspoon, D.O.M, L.AC

Primary specialty

NutritionistTaxonomy code 133N00000X

License

000463-1 Issued in NY

Practice address

2186 5TH Ave Apt 1P
New York, NY 10037-2708

Phone

(212) 252-2802

NPI assigned

May 26, 2011

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1831482587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 5TH AVE STE 1783",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 5TH AVE APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372708",
            "telephone_number": "212-252-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.M, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "000463-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• With You Wellness Physical Therapy P.C.
• Deborah Ann Witham, LMSW
• Emma Witham
• Sophia Witheiler
• Caitlyn Witherspoon, MOT, OTR/L
• Denise Loretta Witherspoon, RN
• William Samuel Witherspoon Jr., LCSW
• Trentina P Withworth, LMSW
• Georgia Hope Witkin, PH.D.
• Lisa Rochelle Witkin, M.D.

• Nutritionist in New York, NY
• Providers in New York, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.