Individual provider Active NPI

Courtney Nicole Gueye

  • Adult Health Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1417550245
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
202330 Issued in OK
Practice address
2707 Market Trce
Fort Smith, AR 72908-8694
Phone
(479) 434-3600
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 202330 OK Primary

Addresses

Primary practice location

2707 Market Trce
Fort Smith, AR 72908-8694

Mailing address

2707 Market Trce
Fort Smith, AR 72908-8694
Phone (479) 434-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211209000610 AR Practitioner - Nurse Practitioner 2961892799
I20220616002633 OK Practitioner - Nurse Practitioner 2961892799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.26 of 100Reported as group
Quality
75.75
Improvement activities
40
Cost
69.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202330OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jun 8, 2022 Accepting new patients
Brett Whatcott DO PLLC CurrentSince Sep 13, 2021 Accepting new patients

Locations

2707 Market Trce
Fort Smith, AR 72908
Phone (479) 434-3600

302 N Greenwood Ave
Fort Smith, AR 72901
Phone (479) 434-3600

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

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

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": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1417550245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 MARKET TRCE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088694",
            "telephone_number": "479-434-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 MARKET TRCE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088694",
            "telephone_number": "479-434-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEYE",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "202330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.