Courtney L Pearson, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

825002 Issued in NY

Practice address

10864 Main St
Clarence, NY 14031-1740

Phone

(937) 459-2346

NPI assigned

May 26, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1891488730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10864 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10864 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311740",
            "telephone_number": "937-459-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2022-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "825002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niagara Oxygen Inc
• North Point Medical Inc
• Northtown Podiatry Group PC
• Anna Grace Ottaviano, LMSW
• Marilyn Jean Pantano, LMSW
• Theresa Marie Peltier, OTR/L
• Maria Anna Pesany, FNP-BC
• Louis Patrick Pinto, MS, OTR/L
• Donna Polinski
• Evelyn Ruth Post-Dunn, OTR/L, ED.M

• Pediatric Registered Nurse in Clarence, NY
• Providers in Clarence, NY by specialty
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.