NPI Code Detail JSON Logo

1457167579 NPI number — CHRISTI L COURTNEY LADC

NPI Number: 1457167579
Health Care Provider/Practitioner: CHRISTI L COURTNEY LADC

Information about “1457167579” NPI (CHRISTI L COURTNEY LADC) exists in 1457167579 in HTML format HTML  |  1457167579 in plain Text format TXT  |  1457167579 in PDF (Portable Document Format) PDF  |  1457167579 in an XML format XML  formats.

NPI Number : 1457167579 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457167579",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COURTNEY",
    "FirstName": "CHRISTI",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6425 CITY WEST PKWY APT 3209",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDEN PRAIRIE",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55344-3285",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-986-5499",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13100 WAYZATA BLVD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINNETONKA",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55305-1810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-206-2040",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/04/2024",
    "LastUpdateDate": "12/04/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "306289",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.