Individual provider Active NPI

Courtney Lejeune Mankin, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1407501984
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224194 Issued in LA
Practice address
441 Heymann Blvd
Lafayette, LA 70503-2611
Phone
(337) 289-8429
Fax
(337) 289-8431
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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 224194 LA Primary

Addresses

Primary practice location

441 Heymann Blvd
Lafayette, LA 70503-2611

Mailing address

441 Heymann Blvd
Lafayette, LA 70503-2611
Phone (337) 289-8429

Other names 1

  • Courtney Paige Lejeune Former name

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
I20220413000032 LA Practitioner - Nurse Practitioner 5799171005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

459 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 289-8974

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Apr 28, 2025 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Apr 28, 2025 Accepting new patients
Cardiovascular Institute of the South, LLC Nurse Practitioner CurrentSince Apr 11, 2022 Accepting new patients
Kenneth L Entes MD Apmc PastSince Feb 24, 2022 Accepting new patients

Locations

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

441 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8429

459 Heymann Blvd
Lafayette, LA 70503
Phone (337) 237-3637

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1407501984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032611",
            "telephone_number": "337-289-8429",
            "fax_number": "337-289-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032611",
            "telephone_number": "337-289-8429",
            "fax_number": "337-289-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKIN",
        "first_name": "COURTNEY",
        "middle_name": "LEJEUNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LEJEUNE",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.