Individual provider Active NPI

Courtney Ann Wight, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1003769167
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11045550 Issued in FL
Practice address
1611 Harden Blvd
Lakeland, FL 33803-1826
Phone
(813) 701-5804
Fax
(813) 291-7615
NPI assigned
Feb 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11045550 FL Primary

Addresses

Primary practice location

1611 Harden Blvd
Lakeland, FL 33803-1826

Mailing address

PO Box 25201
Tampa, FL 33622-5201
Phone (727) 823-2188

Other practice location 1

771 Cypress Village Blvd
Sun City Center, FL 33573-6801
Phone (813) 701-5804

Other practice location 2

1749 6th St NW
Winter Haven, FL 33881-2301
Phone (813) 701-5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12225 28TH St N
Suite a
St Petersburg, FL 33716-1860

PO Box
Tampa, FL 33622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11045550FLMDFamily Medicine Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCFCCD/Endpoint/BCFCCD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1003769167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225201",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031826",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 Cypress Village Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736801",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1749 6th St NW",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338812301",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11045550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.