Individual provider Active NPI

Courtney Marie Lacoste, FNP-C

  • Family Nurse Practitioner
  • Kiln, MS
National Provider Identifier
1609649391
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906357 Issued in MS
Practice address
16195 Sam Favre Rd
Kiln, MS 39556-8191
Phone
(228) 216-1981
NPI assigned
Nov 3, 2023
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 906357 MS Primary

Addresses

Primary practice location

16195 Sam Favre Rd
Kiln, MS 39556-8191

Mailing address

PO Box 481
Kiln, MS 39556-0481
Phone (228) 216-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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
I20240626001904 LA Practitioner - Nurse Practitioner 0244774727 Reassigns benefits to 1 organization
I20250120000809 MS Practitioner - Nurse Practitioner 0244774727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians

Practice addresses (Care Compare)

4540 Shepherd SQ
Diamondhead, MS 39525-3325
Phone (228) 255-8216

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906357MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Jun 10, 2024 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Nov 18, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jun 10, 2024 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Nov 18, 2024 Accepting new patients

Locations

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

1514 Jefferson Hwy
New Orleans, LA 70121

64410 Highway 41
Pearl River, LA 70452
Phone (985) 256-4712

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

4540 Shepherd Sq
Diamondhead, MS 39525
Phone (228) 255-8216

Interoperability endpoints

  • Direct secure messaging: clacoste520151@direct.ochsner.org

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 4

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": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1609649391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395560481",
            "telephone_number": "228-216-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16195 SAM FAVRE RD",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395568191",
            "telephone_number": "228-216-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOSTE",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kiln, MS

Sources for this page

Verify at the official NPI Registry.