Individual provider Active NPI

Katie Graci Courville, FNP-C

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1346071818
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236148 Issued in LA
Practice address
1415 Corporate Square Dr Ste a
Slidell, LA 70458-3151
Phone
(985) 259-4854
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 236148 LA Primary

Addresses

Primary practice location

1415 Corporate Square Dr Ste a
Slidell, LA 70458-3151

Mailing address

1415 Corporate Square Dr Ste a
Slidell, LA 70458-3151
Phone (985) 259-4854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250515001666 LA Practitioner - Nurse Practitioner 3173041969 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236148LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Health Clinic CurrentSince Jul 22, 2025 Accepting new patients
Signify Health, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

1415 Corporate Square Dr
Ste A
Slidell, LA 70458
Phone (601) 287-4038

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18812/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katie.courville.1@18812.direct.athenahealth.com

Organizations & group practices 2

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": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1346071818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CORPORATE SQUARE DR STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583151",
            "telephone_number": "985-259-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CORPORATE SQUARE DR STE A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583151",
            "telephone_number": "985-259-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURVILLE",
        "first_name": "KATIE",
        "middle_name": "GRACI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-07-15",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "236148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.