Courtney Brianna Clement

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

R8864140 Issued in OH

Practice address

1010 Woodman Dr
Dayton, OH 45432-1400

Phone

(937) 252-2000

Fax

(937) 252-1224

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Courtney Keiser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1942071139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-252-2000",
            "fax_number": "937-252-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-252-2000",
            "fax_number": "937-252-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "COURTNEY",
        "middle_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "OH",
            "license": "R8864140",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "OH",
            "license": "R8864140",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "OH",
            "license": "R8864140",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": "R8864140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "KEISER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Myron Cleckner, PHARM D
• Christine Clegg, RN
• Clem Kirkland, M.D., Inc
• Laura Clemans, LISW-S
• Gage Michael Clemens
• Jonathan Alexander Clement
• Alexander R. Clemente, DDS
• Aaron Gregory Clements, CDCA PRELIMINARY
• Precious Jewel Clements
• Clemons Healthcare Agency

• Radiologic Technologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Radiologic Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.