Courtney Marie Cotner, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

10026820 Issued in OR

Practice address

9925 SW Nimbus Ave Ste 100
Beaverton, OR 97008-7591

Phone

(503) 595-9300

NPI assigned

May 23, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3083/brand/1/csg/1/fhir/r4
• Direct secure messaging: courtney.cotner.1@3083.direct.athenahealth.com

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.

• Sellwood Medical Clinic PC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1083686554
  NPD

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1922847441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8332 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027102",
            "telephone_number": "503-595-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 SW NIMBUS AVE STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087591",
            "telephone_number": "503-595-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8332 SE 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972027102",
            "country_code": "US",
            "telephone_number": "503-595-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTNER",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "10026820",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "10026820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle K Correia-Jeffers, DPT
• Cory Correia
• Nathaniel Correia, PT
• Hillary L Corson, APRN, PMHNP-BC
• Alithea K. Corter, D.C.
• Chad Cotta
• Amy Geraldine Cotter
• Grace Cottrell
• Cynthia Harris Coughlin, OTR/L
• Elliot Briar Coulter

• All providers in Beaverton, OR
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.