Individual provider Active NPI

Courtney Wright, NP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1013339142
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
794421 Issued in TX
Practice address
8210 Walnut Hill LN
Suite 615
Dallas, TX 75231-4405
Phone
(214) 345-4160
Fax
(214) 345-4165
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 794421 TX
Family Nurse Practitioner 363LF0000X 794421 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN
Suite 615
Dallas, TX 75231-4405

Mailing address

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone (214) 345-4160

Other identifiers 1

IdentifierTypeStateIssuer
350767501MedicaidTX

Other names 1

  • Courtney Wade Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150116001659 TX Practitioner - Nurse Practitioner 4486978699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell C Lam MD PAGroup PAC ID 1951459080, 12 clinicians

Practice addresses (Care Compare)

8210 Walnut Hill LN
Suite 505
Dallas, TX 75231-4420
Phone (214) 345-4160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
794421TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Russell C. Lam, M.D., P.a. CurrentSince Aug 12, 2014 Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 505
Dallas, TX 75231
Phone (214) 345-4160

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8793/brand/1/csg/1/fhir/r4

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": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1013339142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 615",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "794421",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "794421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350767501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.