Individual provider Active NPI

Courtney McCullough Weston, APRN

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1497901805
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05612 Issued in LA
Practice address
2600 Tower Dr Ste 309
Monroe, LA 71201-5783
Phone
(318) 966-6575
Fax
(318) 966-6586
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1915TAP LA
Family Nurse Practitioner 363LF0000X AP05612 LA Primary

Addresses

Primary practice location

2600 Tower Dr Ste 309
Monroe, LA 71201-5783

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0011

Other identifiers 2

IdentifierTypeStateIssuer
1316041MedicaidLA
AP05612OtherLAAPRN LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cweston13416@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20080930000174 LA Practitioner - Nurse Practitioner 5294802427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

312 Grammont St
Suite 404
Monroe, LA 71201-7403
Phone (318) 966-2001

Hospital & facility affiliations

  • St Francis Medical Center Home Health Home health agency, Monroe, LA, CCN 197091
  • Allegiance Home Health of Northeast la Home health agency, West Monroe, LA, CCN 197550
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1915TAPLAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC CurrentSince Jun 26, 2017 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

202 Highway 80 E
Calhoun, LA 71225
Phone (318) 966-8390

2600 Tower Dr
Ste 309
Monroe, LA 71201
Phone (318) 966-6200

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

3510 Magnolia Cv
Ste 120
Monroe, LA 71203
Phone (318) 329-1180

2600 Tower Dr
Ste 106
Monroe, LA 71201
Phone (318) 966-6400

312 Grammont St
Ste 404
Monroe, LA 71201
Phone (318) 323-1809

2600 Tower Dr
Ste 215
Monroe, LA 71201
Phone (318) 966-5219

516 Lincoln Rd
Monroe, LA 71203
Phone (318) 343-6487

309 Jackson St
Ste 320
Monroe, LA 71201
Phone (318) 966-6550

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

1200 Celebrity Dr
Ste 1
Ruston, LA 71270
Phone (318) 225-8271

1200 Celebrity Dr
Ste 4
Ruston, LA 71270
Phone (318) 966-8370

8950 Highway 165 N
Ste 2
Sterlington, LA 71280
Phone (318) 855-2222

200 Professional Dr
West Monroe, LA 71291
Phone (318) 325-3812

3106 Cypress St
West Monroe, LA 71291
Phone (318) 322-0458

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 5

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1497901805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0011",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TOWER DR STE 309",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015783",
            "telephone_number": "318-966-6575",
            "fax_number": "318-966-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "COURTNEY",
        "middle_name": "MCCULLOUGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "1915TAP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316041",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP05612",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cweston13416@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cweston13416@direct.casso.us.com",
            "address_1": "2600 Tower Dr Ste 309",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712015783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2600 Tower Dr Ste 309",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712015783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.