Mona Louise Courtney, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

739975 Issued in TX

Practice address

819 Water St
Suite 300
Kerrville, TX 78028-5333

Phone

(830) 258-5430

Fax

(830) 792-5771

NPI assigned

Oct 12, 2009

Last updated

Oct 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mona Louise Lackmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1124353081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WATER ST",
            "address_2": "SUITE 300",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285333",
            "telephone_number": "830-258-5430",
            "fax_number": "830-792-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WATER ST",
            "address_2": "SUITE 300",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285333",
            "telephone_number": "830-258-5430",
            "fax_number": "830-792-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "MONA",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "739975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "739975",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "LACKMANN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Estela Cortez, LVN
• Joan Lee Cortez, MS
• Cosmos Hospice of San Antonio, LLC (New Century Hospice of San Antonio)
• Raymond M Costello, PHD
• Charles Coulter Jr.
• Covenant Primary Care LLC
• Vanessa R Cox, DNP, APRN, FNP-BC
• Russell S Cravey, M.D.
• Susan Crawford
• Brandy Crider, MSN, RN

• Registered Nurse in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.