Active NPI
Courtney Elizabeth Hart, AUD
- Audiologist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002864A
- Practice address
- 1753 Fulton St
Elkhart, IN 46514-1927 - Phone
- (574) 293-9448
- Fax
- (574) 293-9480
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001673 | VA | |
| Audiologist | 231H00000X | 14425 | NC | |
| Audiologist | 231H00000X | 23002864A | IN | Primary |
Addresses
Primary practice location
1753 Fulton St
Elkhart, IN 46514-1927
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-1840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chart34631@direct.ceenta.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Louisville School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1753 Fulton St
Elkhart, IN 46514-1927
Phone (574) 293-9448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14425 | NC | MD | Mental Health Counselor |
| 23002864A | IN | MD | Audiologist |
| 2201001673 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Charlotte Eye Ear Nose & Throat Associates, P.a. | Audiologist | Current | Accepting new patients |
| Charlotte Eye Ear Nose & Throat Associates, PA | Current | Accepting new patients | |
| Hampton Roads Otolaryngology Associates PLLC | Past | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
1753 Fulton St
Elkhart, IN 46514
Phone (574) 293-9448
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
10305 Hamptons Park Dr
Ste 201
Huntersville, NC 28078
Phone (704) 295-3600
Organizations & group practices 7
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.
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Ophthalmology Physician
- Charlotte, NC
- NPI 1043287469
Audiologist
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Bone and Joint Specialists
- Critical Care Medicine (Internal Medicine) Physician
- Elkhart, IN
- NPI 1821222829
-
- Ophthalmology Physician
- Salisbury, NC
- NPI 1801217948
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
-
dba Hampton Roads ENT & Allergy
- Non-Pharmacy Dispensing Site
- Hampton, VA
- NPI 1053742031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1861919888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 FULTON ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141927",
"telephone_number": "574-293-9448",
"fax_number": "574-293-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "COURTNEY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001673",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "14425",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002864A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chart34631@direct.ceenta.com",
"affiliation": "N",
"address_1": "10305 Hamptons Park Dr Ste 201",
"city": "Huntersville",
"state": "NC",
"country_code": "US",
"postal_code": "280787222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.