Ms. Courtney Bass Clarkson
Nurse Practitioner (Family)

Address: 1011 Rock Quarry Rd, Raleigh, NC 27610-3825
Phone: 9198333111

Ms. Courtney Bass Clarkson (NPI# 1831529809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1831529809
Entity Type Individual
Full Name Ms. Courtney Bass Clarkson
Credential NP-C
Gender Female
Practice Address 1011 Rock Quarry Rd
Raleigh
NC 27610-3825
Practice Telephone 9198333111
Practice Fax Number 9198343118
Mailing Address 1001 Rock Quarry Rd
Raleigh
NC 27610-3825
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-11-12
Last Update Date 2017-03-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 5006603 NC

Other Provider Identifier

State Identifier Issuer Type Code
NC 5006603 OTHER NORTH CAROLINA BOARD OF NURSING LICENSE
NC MC3058307 OTHER DEA LICENSE

Physician Overview

NPI 1831529809
PAC ID by PECOS 4486883345
Professional Enrollment ID I20140219000442
Full Name Courtney Clarkson
Organization Legal Name UNC PHYSICIANS NETWORK, LLC
Phone Number 9197907070
Gender F
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5496940546
Number of Group Practice Members 344
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340114 REX HOSPITAL

Office Location

Street Address 1011 ROCK QUARRY RD
City RALEIGH
State NC
Zip Code 27610-3825

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326011396 Leroy S. Darkes Internal Medicine 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2006-02-09
1194277509 Sandra Entry Dental Hygienist 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2016-11-02
1861942831 Maribel Medina De La Barrera Dietitian, Registered 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2016-10-13
1235585662 Wake Health Services Inc Pharmacy 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2016-05-04
1235598475 Teri Brown Nurse Practitioner 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2016-02-16
1215323365 Billie Lauren Karel Dietitian, Registered 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2015-04-15
1992930804 Faraz Akhtar Family Medicine 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2009-05-20
1043444573 Derrick John Hoover Family Medicine 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2009-05-12
1356471007 Glenn Louis Feole Pediatrics 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2007-03-06
1992877344 Ayesha Khan Internal Medicine 1011 Rock Quarry Rd, Raleigh, NC 27610-3825 2006-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1467931360 Dirk M Collevecchio Nurse Practitioner 10 Sunnybrook Road, Clinic B, Raleigh, NC 27610 2018-08-10
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1043738669 Jessica Elizabeth Boyter Occupational Therapist 2414 Stevens Road, Raleigh, NC 27610 2017-09-04
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811456320 Elizabeth Campbell Mcgrath Nurse Practitioner 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 2019-03-14
1922578541 Dorothy Nwizu Nurse Practitioner 608 Kavkaz St, Raleigh, NC 27610-3176 2018-11-26
1902325418 Naomi Christine Askew Nurse Practitioner 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 2017-09-15
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1902326044 Ngozi Ifeoma Osiebo Nurse Practitioner 4608 Wedgewood Drive, Raleigh, NC 27604 2017-06-20
1093252991 Natalie Jane Mclaughlin Nurse Practitioner 5920 Sandy Forks Rd # 100, Raleigh, NC 27609-3814 2017-01-30
1891170346 Taylor Murphy Nurse Practitioner 6615 King Lawrence Rd, Raleigh, NC 27607-4908 2015-07-27
1477937787 Alexandria Mcintosh Nurse Practitioner 5105 Green Knight Ct, Raleigh, NC 27612 2015-07-16
1245620806 Kimberly Szwed Nurse Practitioner 6422 Rosny Road, Raleigh, NC 27613 2015-02-03
1508256496 Nneka Ifeoma Hay Nurse Practitioner 1390 Capital Boulevard, Raleigh, NC 27603 2015-01-29
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Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

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.

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