Courtney Nicole Vincent, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011358 Issued in KY

Practice address

1213 N Main St
Beaver Dam, KY 42320-8955

Phone

(270) 274-4771

Fax

(270) 274-4884

NPI assigned

Jun 21, 2017

Last updated

Jul 16, 2024By 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

• Courtney Nicole Keller Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Nurse Practitioner

State licenses

Practice roles

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.

• Harmonycares Complete Health Services, PLLC

  dba HarmonyCares Health Services

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902

  KY

  Medicare reassignment
• Pain Management Group LLC

  • Pain Medicine Physician
  • Findlay, OH
  • NPI 1063831303

  KY

  Medicare reassignment
• Owensboro Health Medical Group Inc

  dba Owensboro Health Muhlenberg Community Hospital Wound Center

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  NPD
• Owensboro Pediatrics LLC

  • Pediatrics Physician
  • Owensboro, KY
  • NPI 1720092240

  Family

  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1215457288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-691-8070",
            "fax_number": "270-691-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-4771",
            "fax_number": "270-274-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100521080",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckeller86262@direct.owensborohealth.org",
            "affiliation": "Y",
            "affiliationName": "Owensboro Health Medical Group, Inc",
            "address_1": "1213 N Main St",
            "city": "Beaver Dam",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423208955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "KELLER",
            "middle_name": "NICOLE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randall Keith Thorpe, PHARMD
• Amy Nicole Tichenor, PHARMD
• Tina Snodgrass Derm, PLLC
• TKM Enterprises LLC (Home Sweet Home Care)
• Kristen Utley, OTR
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0333)
• Wal-Mart Stores East, LP (Vision Center 30-0333)
• Amber Westerfield, MD
• Andrea Whitmer, LCSW
• Cynthia R Wilson, ARNP

• Family Nurse Practitioner in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.