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COURTNEY KOTEWA
NPI 1245823962
Nurse Practitioner in Cerritos, CA

Active since February 13, 2021
12900 PARK PLAZA DRIVE, SUITE 150, CERRITOS, CA 90703(989) 714-7861 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2023, Feb 13, 2021 (2 updates tracked since 2021).

About Courtney Kotewa NPPES

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

COURTNEY KOTEWA (NPI 1245823962) is an individual nurse practitioner in Cerritos, California, licensed in Michigan (4704270430) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1245823962
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOURTNEY KOTEWA
Location Address12900 PARK PLAZA DRIVE, SUITE 150Cerritos, CA 90703
Mailing Address2552 Hall St SeGrand Rapids, MI 49506-3568 · (989) 714-7861
Phone(989) 714-7861
Sole ProprietorNo
Enumeration DateFebruary 13, 2021
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1245823962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704270430
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704270430 (MI)
12900 PARK PLAZA DRIVE, Cerritos, CA 90703
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Other Providers at the Same Location NPPES

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

CARELON HEALTH IPA OF CALIFORNIA
Counselor
12900 PARK PLAZA DRIVE, SUITE 150
CERRITOS, CA 90703
Los Angeles County (847) 221-4900

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 Kotewa's NPI number?

The NPI number for Courtney Kotewa is 1245823962. It was assigned to this individual provider in the NPPES registry on February 13, 2021.

Where is Courtney Kotewa located?

Courtney Kotewa practices at 12900 Park Plaza Drive Suite 150, Cerritos, CA 90703. The listed phone number is (989) 714-7861.

What is Courtney Kotewa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Courtney Kotewa was last updated on April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.