Courtney Flynn, ATC.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5172 Orange Ave
Cypress, CA 90630-2921

Phone

(714) 220-3055

NPI assigned

Dec 7, 2016

Last updated

Dec 7, 2016By 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

Other identifiers 1

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": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1942744123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ALBURY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 ORANGE AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302921",
            "telephone_number": "714-220-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "COURTNEY",
        "credential": "ATC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "XDM027M81330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren May Michelle Fearn
• Kay Fielder, M.A.
• First Class Nurses, Inc.
• First Roz Home Health, Inc.
• Valencia Carol Fleming, FNP
• Anne Foltz, CF-SLP
• Jocelyn Fonseca
• Janice Ellen Foust, RDN, CDE
• Kayla Fouty
• Frank M. Dalessandro MD Inc (Ocean Pacific Primary Care)

• Athletic Trainer in Cypress, CA
• Providers in Cypress, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.