Courtnee Boerjan

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

949 N Main St
Mulberry, AR 72947-8538

Phone

(479) 452-5040

Fax

(479) 452-5047

NPI assigned

Sep 18, 2012

Last updated

Sep 18, 2012By the provider in NPPES

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

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1932459971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23070",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729230070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 N MAIN ST",
            "city": "MULBERRY",
            "state": "AR",
            "postal_code": "729478538",
            "telephone_number": "479-452-5040",
            "fax_number": "479-452-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERJAN",
        "first_name": "COURTNEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Amerson
• Arkansas Rural Kare, Inc. (Mulberry Family Clinic)
• Whitney Burgess
• Michelle Cameron, FNP
• April Cristee
• Leslie Renee Entrekin, OTRL
• Sheila Nicole Gilbert

• Case Manager/Care Coordinator in Mulberry, AR
• Providers in Mulberry, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.