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MRS. COURTNEY N. WOOLSEY RD
NPI 1164906095
Dietitian, Registered in Park City, UT

Active since September 17, 2018
900 ROUND VALLEY DR STE 110, PARK CITY, UT 84060(435) 333-3535 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2020, Sep 17, 2018 (2 updates tracked since 2018).

About Mrs. Courtney N. Woolsey Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. COURTNEY N. WOOLSEY RD (NPI 1164906095) is an individual dietitian, registered in Park City, Utah, licensed in Utah (13958014-4901) and active in the NPI registry since September 2018. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1164906095
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. COURTNEY N. WOOLSEYCredential: RD
Location Address900 ROUND VALLEY DR STE 110Park City, UT 84060-7552
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(435) 333-3535
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 17, 2018
Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1164906095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in UT · 13958014-4901
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
900 ROUND VALLEY DR STE 110, Park City, UT 84060
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Courtney N. Goodwin Rd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Oregon and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Courtney N. Woolsey Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062948649
PECOS Enrollment IDI20251226002322

Medicare Billing Reassignments

2

Medicare enrollment records show Courtney Woolsey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Maternal & Fetal Medicine
900 ROUND VALLEY DR
Park City, UT 84060
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1174396204 (435) 658-7400
Strategic Nutrition
655 mi
Dietitian, Registered
5021 TUALATA LN
Lake Oswego, OR 97035
  • Reassigned Medicare billing, Oregon enrollment
  • 44 clinicians in this Medicare group
NPI 1679823108 (503) 974-6454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY GIBBONS RDN
Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Summit County (435) 633-3353
KARA SHIREY MS, RDN, CD
Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Summit County (435) 658-7894
ZUI FANG L.AC
Acupuncturist
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Summit County (435) 333-3535
DR. WYATT HARDING HORSLEY M.D.
Family Medicine
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Summit County (435) 333-3535
HANNAH JANE LANGLEY RD
Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Summit County (435) 333-3535
KARY ELLEN WOODRUFF R.D., M.S., C.D.
Dietitian, Registered
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Summit County (435) 333-3535
ANNA J HOLMAN MD
Family Medicine
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Summit County (435) 658-6750
SONYA GREY
Massage Therapist
900 ROUND VALLEY DR STE 110
PARK CITY, UT 84060
Summit County (435) 333-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Woolsey's NPI number?

The NPI number for Courtney Woolsey is 1164906095. It was assigned to this individual provider in the NPPES registry on September 17, 2018. The provider is also known as Ms. Courtney N. Goodwin Rd.

Where is Courtney Woolsey located?

Courtney Woolsey practices at 900 Round Valley Dr Ste 110, Park City, UT 84060. The listed phone number is (435) 333-3535.

What is Courtney Woolsey's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Courtney Woolsey enrolled in Medicare?

Yes. Courtney Woolsey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Courtney Woolsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Woolsey reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Park City, UT) and Strategic Nutrition (Lake Oswego, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Woolsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Woolsey accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Oregon, Select Health and University of Utah Health Plans list Courtney Woolsey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Woolsey was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.