Active NPI
Courtney Schinner, RDN
- Pediatric Nutrition Registered Dietitian
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 86049806
- Practice address
- 155 Calle Portal Ste 700
Sierra Vista, AZ 85635-2973 - Phone
- (520) 450-0203
- Fax
- (520) 364-4261
- NPI assigned
- Sep 24, 2020
- Last updated
- Sep 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 86049806 | AZ | Primary |
Addresses
Primary practice location
155 Calle Portal Ste 700
Sierra Vista, AZ 85635-2973
Mailing address
1205 N F Ave
Douglas, AZ 85607-1920
Phone (520) 364-6852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201007000801 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 8325467533 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86049806 | AZ | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Past | Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309
1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285
1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860
1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203
4755 Campus Dr
Sierra Vista, AZ 85635
Phone (520) 226-3020
77 Calle Portal
Ste C240
Sierra Vista, AZ 85635
Phone (520) 335-6271
251 W Rex Allen Dr
Willcox, AZ 85643
Organizations & group practices 3
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.
-
dba Benson Family Health Center
- Federally Qualified Health Center (FQHC)
- Benson, AZ
- NPI 1821582529
-
dba Business Office
- Federally Qualified Health Center (FQHC)
- Douglas, AZ
- NPI 1942241443
-
dba Chiricahua Community Health Centers, Inc - Bisbee
- Federally Qualified Health Center (FQHC)
- Bisbee, AZ
- NPI 1710462593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1972110948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N F AVE",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856071920",
"telephone_number": "520-364-6852",
"fax_number": "520-364-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL STE 700",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352973",
"telephone_number": "520-450-0203",
"fax_number": "520-364-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHINNER",
"first_name": "COURTNEY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "AZ",
"license": "86049806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.