Courtney Adele Bloodgood, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1972 Issued in KS

Practice address

21900 S Webster St
Suite B
Spring Hill, KS 66083-9609

Phone

(913) 592-2020

Fax

(913) 273-0528

NPI assigned

Jun 19, 2014

Last updated

Sep 10, 2014By 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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whitesell Optometry, PAGroup PAC ID 5799800843, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: courtney.bloodgood@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whitesell Optometry, PA

  • Optometrist
  • Spring Hill, KS
  • NPI 1952507527
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1942614714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21900 S WEBSTER ST",
            "address_2": "SUITE B",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660839609",
            "telephone_number": "913-592-2020",
            "fax_number": "913-273-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21900 S WEBSTER ST",
            "address_2": "SUITE B",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660839609",
            "telephone_number": "913-592-2020",
            "fax_number": "913-273-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODGOOD",
        "first_name": "COURTNEY",
        "middle_name": "ADELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel W Beck, PHARMD
• Erin Michele Bennett, ED.S
• Brooke Berry
• Blackhawk Holdings Operations NT-Hci LLC (Blackhawk Assisted Living)
• Jamie Blackim, ATC, LAT
• Jennifer C Bulcock, MD
• Steven Frederick Burmaster, DDS
• Itzel Anahi Carranza
• Colonial Oaks at Spring Hill Property Company LLC (Colonial Oaks at Spring Hill)
• Colonial Oaks Blackhawk LLC

• Optometrist in Spring Hill, KS
• Providers in Spring Hill, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.