Individual provider Active NPI

Courtney Malone, FNP

  • Family Nurse Practitioner
  • Texarkana, AR
National Provider Identifier
1508236027
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129151 Issued in TX
Practice address
1205 E 35TH St
Texarkana, AR 71854-2746
Phone
(870) 216-0080
Fax
(870) 216-0093
NPI assigned
Sep 26, 2015
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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 AP129151 TX Primary

Addresses

Primary practice location

1205 E 35TH St
Texarkana, AR 71854-2746

Mailing address

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 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
I20160105000083 TX Practitioner - Nurse Practitioner 2365744604 Reassigns benefits to 2 organizations
I20250821001998 AR Practitioner - Nurse Practitioner 2365744604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Border Health ClinicGroup PAC ID 8820038565, 55 clinicians

Practice addresses (Care Compare)

1205 E 35TH St
Texarkana, AR 71854-2746
Phone (870) 216-0080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Special Health Resources for Texas, Incorporated CurrentSince Aug 7, 2023 Accepting new patients
East Texas Border Health Clinic CurrentSince Aug 4, 2025 Accepting new patients
East Texas Border Health Clinic CurrentSince Aug 4, 2025 Accepting new patients
Special Health Resources for Texas, Incorporated CurrentSince Aug 7, 2023 Accepting new patients
Special Health Resources for Texas, Incorporated Past Accepting new patients
East Texas Border Health Clinic Past Accepting new patients
Special Health Resources for Texas, Inc. Past Accepting new patients

Locations

1205 E 35th St
Texarkana, AR 71854
Phone (870) 216-0080

300 E 6th St
Texarkana, AR 71854
Phone (870) 779-6000

409 N 6th St
Longview, TX 75601
Phone (903) 315-5520

410 N 4th St
Longview, TX 75601
Phone (903) 234-8808

1102 Main St
Texarkana, TX 75501
Phone (903) 255-0220

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1508236027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-831-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E 35TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542746",
            "telephone_number": "870-216-0080",
            "fax_number": "870-216-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "COURTNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.