Courtney Avra, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15238 Issued in TX

Practice address

3900 NE Stallings Dr Ste 101
Nacogdoches, TX 75965-2111

Phone

(936) 559-8770

Fax

(936) 559-8773

NPI assigned

Dec 29, 2021

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

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

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.

• Mark A Cline, M.D.

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1477563898
  Medicare reassignment
• Walk-in Clinic, LLC

  • Family Medicine Physician
  • Temple, TX
  • NPI 1033566286
  NPD (past)

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1194485375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NE STALLINGS DR STE 101",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652111",
            "telephone_number": "936-559-8770",
            "fax_number": "936-559-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NE STALLINGS DR STE 101",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652111",
            "telephone_number": "936-559-8770",
            "fax_number": "936-559-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVRA",
        "first_name": "COURTNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astral Emergency Physicians, PLLC
• Atlas Prosthetics & Orthotics, PLLC
• Michele Augustine, CCC/SLP
• Robert Wayne Austin
• Rick D Autrey, DDS
• Chaudri Shakoor Ahmed Awan, M.D.
• Baby Steps Physical Therapy, P.L.L.C.
• Amy Ellizabeth Bagley-Krenek, FNP
• Erin Elizabeth Bailey, NP
• Jan Elizabeth Bailey, FNP

• Physician Assistant in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.