Courtney Patrick, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1020919 Issued in TX

Practice address

3667 County Road 2134 Ste C
Caddo Mills, TX 75135-6897

Phone

(903) 751-5550

NPI assigned

Jul 27, 2026

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Revive Family Care & Wellness LLC

  • Family Nurse Practitioner
  • Caddo Mills, TX
  • NPI 1447001003

  Family

  NPD (past)

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1245152016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COYOTE TRL",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751356561",
            "telephone_number": "214-929-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 COUNTY ROAD 2134 STE C",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751356897",
            "telephone_number": "903-751-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "COURTNEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Kemp
• Naomi Kay Kramer, FNP-C
• Amy Mathew
• Shawna Moreland
• Sharon L Paine, NP
• Revive Family Care & Wellness LLC
• Lindsey Nicole Roberts, M.S. CCC-SLP
• Andria Scully, LCSW
• Valerie Smith, RBT
• Sparta Wellness Clinic PLLC

• All providers in Caddo Mills, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.