Individual provider Active NPI

Jeremy Brandon Courville, FNP-C

  • Family Nurse Practitioner
  • Batchelor, LA
National Provider Identifier
1114377124
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08838 Issued in LA
Practice address
6450 La Highway 1 Ste B
Batchelor, LA 70715-3212
Phone
(225) 618-5015
Fax
(225) 442-3107
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 AP08838 LA Primary

Addresses

Primary practice location

6450 La Highway 1 Ste B
Batchelor, LA 70715-3212

Mailing address

6450 La Highway 1
Batchelor, LA 70715-3212
Phone (225) 618-5015

Other practice location 1

630 N Vaughan Dr
Brusly, LA 70719-2217
Phone (225) 344-0008

Other practice location 2

13770 Hwy 77
Rosedale, LA 70772
Phone (225) 687-5400

Other practice location 3

8387 Newfield Dr Ste A
Livonia, LA 70755-3605
Phone (225) 412-0404

Other practice location 4

8430 Pointe Coupee Rd
New Roads, LA 70760-4317
Phone (225) 638-3767

Other practice location 5

230 Roberts Dr Ste H
New Roads, LA 70760-2661
Phone (225) 618-7800

Other practice location 6

8387 Newfield Dr Ste B
Livonia, LA 70755-3605
Phone (225) 412-0202

Other practice location 7

77575 Landry Dr
Maringouin, LA 70757-3210
Phone (225) 625-2105

Other identifiers 1

IdentifierTypeStateIssuer
2424467MedicaidLA

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
I20160810002639 LA Practitioner - Nurse Practitioner 2567756745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innis Community Health Center, IncGroup PAC ID 9931130358, 16 clinicians

Practice addresses (Care Compare)

6450 La Hwy 1
Batchelor, LA 70715-3212
Phone (225) 492-3775

77575 Landry Dr
Maringouin, LA 70757-3210
Phone (225) 625-2105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08838LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innis Community Health Center, Inc Past Accepting new patients
Innis Community Health Center, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeremy.courville@afh.eclinicaldirectplus.com

Organizations & group practices 4

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1114377124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 LA HIGHWAY 1",
            "city": "BATCHELOR",
            "state": "LA",
            "postal_code": "707153212",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 LA HIGHWAY 1 STE B",
            "city": "BATCHELOR",
            "state": "LA",
            "postal_code": "707153212",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Vaughan Dr",
            "address_purpose": "LOCATION",
            "city": "Brusly",
            "state": "LA",
            "postal_code": "707192217",
            "country_code": "US",
            "telephone_number": "225-344-0008",
            "fax_number": "225-343-0626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13770 Hwy 77",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "LA",
            "postal_code": "70772",
            "country_code": "US",
            "telephone_number": "225-687-5400",
            "fax_number": "225-442-3107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8387 Newfield Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "LA",
            "postal_code": "707553605",
            "country_code": "US",
            "telephone_number": "225-412-0404",
            "fax_number": "225-412-0342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8430 Pointe Coupee Rd",
            "address_purpose": "LOCATION",
            "city": "New Roads",
            "state": "LA",
            "postal_code": "707604317",
            "country_code": "US",
            "telephone_number": "225-638-3767",
            "fax_number": "225-638-4058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Roberts Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "New Roads",
            "state": "LA",
            "postal_code": "707602661",
            "country_code": "US",
            "telephone_number": "225-618-7800",
            "fax_number": "225-238-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8387 Newfield Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "LA",
            "postal_code": "707553605",
            "country_code": "US",
            "telephone_number": "225-412-0202",
            "fax_number": "225-412-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77575 Landry Dr",
            "address_purpose": "LOCATION",
            "city": "Maringouin",
            "state": "LA",
            "postal_code": "707573210",
            "country_code": "US",
            "telephone_number": "225-625-2105",
            "fax_number": "225-625-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURVILLE",
        "first_name": "JEREMY",
        "middle_name": "BRANDON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424467",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batchelor, LA

Sources for this page

Verify at the official NPI Registry.