Courtney Diaz

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN102887 Issued in AR

Practice address

307 W Stillwell Ave
De Queen, AR 71832-2860

Phone

(870) 642-4214

NPI assigned

Oct 16, 2024

Last updated

Oct 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Amedisys Arkansas, L.L.C.

  dba Adoration Home Health

  • Home Health Agency
  • De Queen, AR
  • NPI 1093742066
  NPD (past)

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1316767072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W STILLWELL AVE",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W STILLWELL AVE",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322860",
            "telephone_number": "870-642-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AR",
            "license": "RN102887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Queen Therapy & Living Center, Inc.
• Dequeen Dental
• Dequeen Medical Center
• Dequeen Medical Center
• Terri Devlin, MD
• Bobby Dodd
• DQH&W Walk in Family Clinic LLC
• DQH&W Walk in Family Clinic LLC (De Queen Clinical Pharmacy Services)
• DQH&W Walk in Family Clinic LLC (Winser Radiology)
• Dqhha Equipment & Supply, Inc. (DBA De Queen Medical Equipment & Supply)

• Home Health Registered Nurse in De Queen, AR
• Providers in De Queen, AR by specialty
• Home Health Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.