MARY CATHERINE COURTNEY (NPI# 1255454278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255454278 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE COURTNEY |
| Credential | RN |
| Practice Address |
2323 Windish Dr Galesburg IL 61401-9780 |
| Mailing Address |
2384 Knox Road 165 E Rio IL 61472-9736 |
| Practice Telephone | 3093444255 |
| Mailing Telephone | 3093430733 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041-282203 | IL | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
041-282203 | IL | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
041-282203 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | FEIN BWAY INC | 370984175 | 01 |
| IL | STATE LICENSE | 041-282203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306011325 | Mary C Courtney | Nurse Practitioner | 1 Gustave L Levy Pl Msh 1458, Mount Sinai Medical Center, New York, NY 10029 | 2008-04-30 |
| 1295008670 | Mary Catherine Courtney | Nurse Practitioner | 262 E Evergreen St, Sherman, TX 75090-5056 | 2012-02-16 |
| Street Address |
2323 WINDISH DR |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-9780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851315535 | Bridgeway Inc | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2006-07-27 |
| 1932741667 | Zoie Gilbertson | Licensed Practical Nurse | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2019-10-15 |
| 1114568078 | Brittany Schisler-davis | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2019-10-02 |
| 1215407366 | Denise Beall | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-12-03 |
| 1841769726 | Sherry Bartels | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1013486992 | Cheryl Majeske | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1285103150 | Jolene Rossell | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1942779806 | Sarah Bullock | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1568931434 | Katie Perrin | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1598234551 | Brad King | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376024240 | Amber Wold | Registered Nurse | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-08-28 |
| 1174778195 | Sandra Lynn Wood | Registered Nurse | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2008-11-18 |
| 1235269929 | Sharon K. Degroot | Registered Nurse | 387 E Grove St, Galesburg, IL 61401-3728 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101420 | Alissa Nichole Thompson | Registered Nurse | 2541 W Belden Ave Apt 1, Chicago, IL 60647-0482 | 2020-07-09 |
| 1548892565 | Sonja K Negrean | Registered Nurse | 280 Shuman Blvd, Naperville, IL 60563-8492 | 2020-02-07 |
| 1134772353 | Theresa Jane Debord | Registered Nurse | 5835 State Route 154 # Address2, Pinckneyville, IL 62274-3418 | 2019-07-17 |
| 1740740653 | Cherise C Rosen | Registered Nurse | 110 Frank Lloyd Wright Ln, Oak Park, IL 60302-2616 | 2019-03-25 |
| 1821589706 | Virginie Nyancho | Registered Nurse | 1336 Court Leona, Hanover Park, IL 60133-5419 | 2018-05-25 |
| 1861848681 | Merry Carlson | Registered Nurse | 1120 N Farnsworth Ave Apt 1d, Aurora, IL 60505-2049 | 2016-05-11 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1215360763 | Debra A Foppe | Registered Nurse | 19125 State Route 127, Carlyle, IL 62231-5303 | 2013-08-19 |
| 1871817742 | Bente Clausen | Registered Nurse | 715 Lake St Ste 720, Oak Park, IL 60301-1416 | 2010-03-22 |
| 1477887032 | Susan Leann Lear | Registered Nurse | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2009-09-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.