COURTENAY MYERS APRN
Complete NPI Record 1386151363
Nurse Practitioner - Family in Whitehall, OH
NPI Status: Active since December 29, 2017
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Credential Text
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Provider License Number 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Healthcare Provider Taxonomy Code 2
- Provider License Number 2
- Provider License Number State Code 2
- Healthcare Provider Primary Taxonomy Switch 2
- Other Provider Identifier 1
- Other Provider Identifier Type Code 1
- Other Provider Identifier State 1
- Is Sole Proprietor
- NPI Certification Date
Complete NPI Dataset
This page represents the complete record for NPI 1386151363. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1386151363
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Entity Type Code: 1
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Last Name Legal Name: MYERS
- The city name in the mailing address of the provider being identified.
- Provider First Name: COURTENAY
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Credential Text: APRN
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider First Line Business Mailing Address: PO BOX 894
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Business Mailing Address City Name: CAMBRIDGE
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OH
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address Postal Code: 437250894
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Mailing Address Country Code If outside U S : US
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider Business Mailing Address Telephone Number: 7402422300
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider Business Mailing Address Fax Number: 7408998070
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Provider First Line Business Practice Location Address: 37 ROBINWOOD AVE
- Provider Business Practice Location Address City Name: WHITEHALL
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address State Name: OH
- Provider Business Practice Location Address Postal Code: 432136703
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US
- The date that a record was last updated or changed.
- Provider Business Practice Location Address Telephone Number: 6146439148
- The code designating the provider’s gender if the provider is a person.
- Provider Enumeration Date: 12/29/2017
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Last Update Date: 11/16/2023
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider Gender Code: F
- The code designating the provider’s gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363L00000X
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: APRN.CNP.021980
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider License Number State Code 1: OH
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Healthcare Provider Primary Taxonomy Switch 1: N
- Healthcare Provider Taxonomy Code 2: 363LF0000X
- Provider License Number 2: APRN.CNP.021980
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Provider License Number State Code 2: OH
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Healthcare Provider Primary Taxonomy Switch 2: Y
- Other Provider Identifier 1: 0257953
- Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
- Other Provider Identifier Type Code 1: 05
- Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
- Other Provider Identifier State 1: OH
- Is Sole Proprietor: N
- Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
- NPI Certification Date: 11/16/2023