Courtney Otts Mantooth, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-150536 Issued in AL

Practice address

801 Princeton Ave SW Ste 707
Birmingham, AL 35211

Phone

(205) 780-4330

NPI assigned

Oct 3, 2018

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 3

Other names 1

• Courtney Otts Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Cardiology , PC

  • Cardiovascular Disease Physician
  • Birmingham, AL
  • NPI 1285690776
  Medicare reassignment NPD
• Growing Up Pediatrics, P.C.

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1356456214
  NPD (past)
• Horizon Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1588904791
  NPD (past)
• Nephrology Medical Associates of Georgia LLC

  • Nephrology Physician
  • Hermiston, OR
  • NPI 1093775645
  NPD (past)

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851866099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW STE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111395",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW STE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35211",
            "telephone_number": "205-780-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTOOTH",
        "first_name": "COURTNEY",
        "middle_name": "OTTS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA RN LICENSE",
            "identifier": "1-150536",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243254",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE",
            "identifier": "1-150536",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "OTTS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Manscill
• Sara E Mansfield
• Alicia Kae Manskow, CRNP-FAMILY
• Tooba Babar Mansoor, MD
• Michael Mansour, M.D.
• Christopher Brian Manuel, BSN, RN
• Hailey Haiwei Mao
• Maple Psychiatry and Consulting LLC
• Morgan Maples
• Choudhary Ahmed Hasan Maqbool

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.