Courtney Marie Morgan-Dildine, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03294 Issued in AR

Practice address

904 Holiday Dr
Suite 406
Forrest City, AR 72335-9183

Phone

(870) 494-4000

Fax

(870) 494-4033

NPI assigned

Aug 31, 2009

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

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGHGBD/Endpoint/DGHGBD

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.

• Brandy Davis MD P a

  • Family Medicine Physician
  • Forrest City, AR
  • NPI 1205869724
  Medicare reassignment NPD

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1184857690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 HOLIDAY DR",
            "address_2": "SUITE 406",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723359183",
            "telephone_number": "870-494-4000",
            "fax_number": "870-494-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HOLIDAY DR",
            "address_2": "SUITE 406",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723359183",
            "telephone_number": "870-494-4000",
            "fax_number": "870-494-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN-DILDINE",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Montgomery, MHPP
• Andria Moon, THERAPIST
• Elizabeth Moore-Brown, MHPP
• Kristian Nicole Moore
• Kwamesha Moore
• Dale Lynn Morris, O.D.
• Ella Morris, RN
• Janet Morris, MHPP
• Jennifer S Morris, CRNA
• Magnolia Morris

• Family Nurse Practitioner in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.