Active NPI
Courtney Ann Wight, APRN
- Family Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1003769167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11045550
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11045550 | FL | MD | Family Medicine Physician |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.