Healthcare Provider Details

I. General information

NPI: 1093941452
Provider Name (Legal Business Name): COURTNEY DIANE NIXON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY MORRIS MD

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 10/13/2026
Certification Date: 10/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26621 CARMEL CENTER PL STE 202
CARMEL CA
93923-8657
US

IV. Provider business mailing address

26621 CARMEL CENTER PL STE 202
CARMEL CA
93923-8657
US

V. Phone/Fax

Practice location:
  • Phone: 831-772-1818
  • Fax: 405-449-4770
Mailing address:
  • Phone: 405-919-9509
  • Fax: 405-449-4770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number166557
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number27118
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: