Individual provider Active NPI

Courtney House

  • Family Nurse Practitioner
  • Henderson, KY
National Provider Identifier
1386442432
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4011535 Issued in KY
Practice address
452 Old Corydon Rd
Henderson, KY 42420-4645
Phone
(270) 826-0200
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 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 4011535 KY Primary

Addresses

Primary practice location

452 Old Corydon Rd
Henderson, KY 42420-4645

Mailing address

4124 Hillcrest Ter
Henderson, KY 42420-9229
Phone (270) 952-9020

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
I20250407000093 KY Practitioner - Nurse Practitioner 2860916343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew 25 AIDS Services IncGroup PAC ID 3375513641, 7 clinicians

Practice addresses (Care Compare)

452 Old Corydon Rd
Henderson, KY 42420-4645
Phone (270) 826-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4011535KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew 25 AIDS Services Inc CurrentSince Mar 10, 2025 Accepting new patients
Matthew 25 AIDS Services Inc Family CurrentSince Mar 10, 2025 Accepting new patients

Locations

944 Fields Dr
Ste 102
Bowling Green, KY 42104
Phone (270) 495-1312

452 Old Corydon Rd
Henderson, KY 42420
Phone (270) 826-0200

1901 Leitchfield Rd
#A
Owensboro, KY 42303
Phone (270) 826-0200

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1386442432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 HILLCREST TER",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424209229",
            "telephone_number": "270-952-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD CORYDON RD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204645",
            "telephone_number": "270-826-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4011535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.