Individual provider Active NPI

Courtney Cheyenne Floyd

  • Registered Nurse
  • Somerset, KY
National Provider Identifier
1245827658
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1131932 Issued in KY
Practice address
305 Langdon St
Somerset, KY 42503-2750
Phone
(606) 679-7441
NPI assigned
Dec 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3016446 KY
Registered Nurse 163W00000X 1131932 KY Primary

Addresses

Primary practice location

305 Langdon St
Somerset, KY 42503-2750

Mailing address

97 Willard St
Monticello, KY 42633-1780
Phone (606) 875-3150

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210826003595 KY Practitioner - Nurse Practitioner 3072918119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Solutions R and D LLCGroup PAC ID 5799011938, 2 clinicians

Practice addresses (Care Compare)

23 Eury LN
Somerset, KY 42501-4115
Phone (800) 401-8213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1131932KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Solutions R & D LLC Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients
Lake Cumberland Physician Practices LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Lake Cumberland Physician Practices, LLC Nurse Practitioner Current Accepting new patients
Lake Cumberland Physician Practices LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Commonwealth Specialists of Kentucky LLC Nurse Practitioner PastSince Nov 1, 2024 Accepting new patients

Locations

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

26 Oxford Way
Ste B
Somerset, KY 42503
Phone (606) 425-4298

23 Eury Ln
Somerset, KY 42501
Phone (502) 783-7800

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: courtney.floyd.1@21269.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1245827658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WILLARD ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331780",
            "telephone_number": "606-875-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "606-679-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "COURTNEY",
        "middle_name": "CHEYENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3016446",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1131932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.