Individual provider Active NPI

Courtney Taylor

  • Family Nurse Practitioner
  • Livingston, LA
National Provider Identifier
1215358395
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07533 Issued in LA
Practice address
29565 Frost Road
Suite C
Livingston, LA 70754-7427
Phone
(225) 686-1114
Fax
(225) 686-1166
NPI assigned
Dec 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP07533 LA
Family Nurse Practitioner 363LF0000X AP07533 LA Primary

Addresses

Primary practice location

29565 Frost Road
Suite C
Livingston, LA 70754-7427

Mailing address

PO Box 1567
Livingston, LA 70754-1567
Phone (225) 686-1114

Other identifiers 1

IdentifierTypeStateIssuer
2354281MedicaidLA

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
I20140314001564 LA Practitioner - Nurse Practitioner 5698906618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stewart Medical and Urgent Care, LLCGroup PAC ID 8325264914, 5 clinicians

Practice addresses (Care Compare)

29565 S Frost Rd
Suite C
Livingston, LA 70754-1903
Phone (225) 686-1114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07533LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Medical & Urgent Care, LLC Current Accepting new patients
Stewart Medical & Urgent Care, LLC CurrentSince Apr 21, 2020 Accepting new patients

Locations

29565 S Frost Rd
#1567
Livingston, LA 70754

29565 S Frost Rd
#C
Livingston, LA 70754

29565 S Frost Rd
Ste C
Livingston, LA 70754
Phone (225) 686-1114

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stewart Family Medicine & After-HoursLivingston, LA, CCN 193896 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Jan 1, 2024
Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1215358395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707541567",
            "telephone_number": "225-686-1114",
            "fax_number": "225-686-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29565 FROST ROAD",
            "address_2": "SUITE C",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707547427",
            "telephone_number": "225-686-1114",
            "fax_number": "225-686-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP07533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354281",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

Verify at the official NPI Registry.