Individual provider Active NPI

Courtney Aguado, NP

  • Family Nurse Practitioner
  • Ennis, TX
National Provider Identifier
1174062574
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133260 Issued in TX
Practice address
2201 W Lampasas St
Ennis, TX 75119-5644
Phone
(469) 256-2412
NPI assigned
Feb 17, 2017
Last updated
Feb 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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 AP133260 TX Primary

Addresses

Primary practice location

2201 W Lampasas St
Ennis, TX 75119-5644

Mailing address

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (214) 712-2077

Other names 1

  • Courtney Withrow 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
I20170412001910 TX Practitioner - Nurse Practitioner 2466738182 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133260TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Dec 1, 2020 Accepting new patients
Comprehensive Hospitalist Services of Texas, PLLC CurrentSince Oct 18, 2017 Accepting new patients
DCS Medical PA CurrentSince Dec 1, 2020 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Current Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince Oct 18, 2017 Accepting new patients
Texas Em-I Medical Services PA CurrentSince Mar 1, 2017 Accepting new patients
Texas Em-I Medical Services PA CurrentSince Mar 1, 2017 Accepting new patients

Locations

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1174062574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401374",
            "telephone_number": "214-712-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "469-256-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUADO",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WITHROW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ennis, TX

Sources for this page

Verify at the official NPI Registry.