Individual provider Active NPI

Courtney Diane Everetts, NP

  • Gerontology Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1407573009
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
32260 Issued in TN
Practice address
2400 Patterson St Ste 502
Nashville, TN 37203-6511
Phone
(615) 515-1900
Fax
(615) 292-4633
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32260 TN
Family Nurse Practitioner 363LF0000X 32260 TN
Gerontology Nurse Practitioner 363LG0600X 32260 TN Primary

Addresses

Primary practice location

2400 Patterson St Ste 502
Nashville, TN 37203-6511

Mailing address

2400 Patterson St Ste 502
Nashville, TN 37203-6511
Phone (615) 515-1900

Other practice location 1

1340 NW Broad St
Murfreesboro, TN 37129-1755
Phone (615) 439-6165

Other identifiers 1

IdentifierTypeStateIssuer
32260MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL http://www.hometownfamilymedical.com/ Health Information Exchange (HIE)
Direct Messaging Address Courtney.Everetts@hcahealthcare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240130002694 TN Practitioner - Nurse Practitioner 3577916113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 502
Nashville, TN 37203-6511
Phone (615) 515-1900

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32260TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R Tessier DO PC CurrentSince Dec 13, 2023 Accepting new patients
Centennial Heart LLC Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1346 Dow St
Murfreesboro, TN 37130
Phone (334) 482-3136

1340 NW Broad St
Murfreesboro, TN 37129
Phone (615) 410-4099

2400 Patterson St
Ste 502
Nashville, TN 37203
Phone (615) 515-1968

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

200 Dover St
Ste 207
Shelbyville, TN 37160
Phone (931) 685-4060

Interoperability endpoints

  • Direct secure messaging: courtney.everetts@hca1.eclinicaldirectplus.com
  • Direct secure messaging: courtney.everetts@hcahealthcare.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.

Hospital & facility affiliations 1

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1407573009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036511",
            "telephone_number": "615-515-1900",
            "fax_number": "615-292-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036511",
            "telephone_number": "615-515-1900",
            "fax_number": "615-292-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 NW Broad St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371291755",
            "country_code": "US",
            "telephone_number": "615-439-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETTS",
        "first_name": "COURTNEY",
        "middle_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32260",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32260",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "32260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32260",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.hometownfamilymedical.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1340 NW Broad St",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371291755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Courtney.Everetts@hcahealthcare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2400 Patterson St Ste 502",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372036511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.