Active NPI
Courtney Beth Ratheal, A-GNP
- Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1057695
- Practice address
- 1108 Lavaca St Ste 110-320
Austin, TX 78701-2172 - Phone
- (512) 477-4088
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11044853 | FL | |
| Nurse Practitioner | 363L00000X | 1057695 | TX | Primary |
Addresses
Primary practice location
1108 Lavaca St Ste 110-320
Austin, TX 78701-2172
Mailing address
1108 Lavaca St Ste 110-320
Austin, TX 78701-2172
Phone (512) 477-4088
Other practice location 1
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (877) 856-3774
Other names 1
- Courtney Beth Cogburn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Powerback Rehabilitation LLC
Practice addresses (Care Compare)
1108 Lavaca St
Suite 110 320
Austin, TX 78701-2172
Phone (512) 477-4088
12429 Scofield Farms Dr
Austin, TX 78758-2640
Phone (737) 932-6829
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11044853 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Geriatric Specialists, PLLC | Current | Accepting new patients | |
| Rippl Care PC of Washington Inc | Current | Accepting new patients | |
| Hni Medical Services | Past | Accepting new patients | |
| Rippl Care PC of California, Inc. | Past | Accepting new patients |
Locations
1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390
11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915
40 NE Loop 410
Ste 100
San Antonio, TX 78216
Phone (714) 717-5744
13423 Blanco Rd
San Antonio, TX 78216
2825 Eastlake Ave E
Seattle, WA 98102
Interoperability endpoints
- courtney.ratheal.1@25850.direct.athenahealth.com
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- courtney.ratheal.1@29558.direct.athenahealth.com
- https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1376575886
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Hospitalist Physician
- Austin, TX
- NPI 1366735169
-
- Family Nurse Practitioner
- Santa Ana, CA
- NPI 1578334215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1316601024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 LAVACA ST STE 110-320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012172",
"telephone_number": "512-477-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 LAVACA ST STE 110-320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012172",
"telephone_number": "512-477-4088"
}
],
"practiceLocations": [
{
"address_1": "19531 Cochran Blvd",
"address_purpose": "LOCATION",
"city": "Port Charlotte",
"state": "FL",
"postal_code": "339482081",
"country_code": "US",
"telephone_number": "877-856-3774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATHEAL",
"first_name": "COURTNEY",
"middle_name": "BETH",
"credential": "A-GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11044853",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1057695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "COGBURN",
"middle_name": "BETH",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.