Individual provider Active NPI

Donna L Courson

  • Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1013099829
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN070432 AP05045 Issued in LA
Practice address
210 Layton Ave Ste 20
Monroe, LA 71201-8548
Phone
(318) 323-6405
Fax
(318) 410-8290
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN070432 AP05045 LA Primary

Addresses

Primary practice location

210 Layton Ave Ste 20
Monroe, LA 71201-8548

Mailing address

210 Layton Ave
Monroe, LA 71201-8548
Phone (318) 323-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000665 LA Practitioner - Nurse Practitioner 3577565852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Pain Care, LLCGroup PAC ID 9032015607, 15 clinicians

Practice addresses (Care Compare)

210 Layton Ave
Suite 20
Monroe, LA 71201-8548

210 Layton Ave
Suite 20
Monroe, LA 71210-8548
Phone (318) 323-6405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN070432 AP05045LAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: donna.coursonfnpc.p2@direct.lapaincare.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1013099829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LAYTON AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018548",
            "telephone_number": "318-323-6405",
            "fax_number": "318-410-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAYTON AVE STE 20",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018548",
            "telephone_number": "318-323-6405",
            "fax_number": "318-410-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSON",
        "first_name": "DONNA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN070432 AP05045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.