Active NPI
Courtney Lofgren, CPNP-PC
- Pediatric Nurse Practitioner
- Dallas, TX
National Provider Identifier
1629526447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP132031
- Practice address
- 7859 Walnut Hill LN
#200
Dallas, TX 75230-5605 - Phone
- (324) 369-7661
- Fax
- (214) 369-2328
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP132031 | TX | Primary |
Addresses
Primary practice location
7859 Walnut Hill LN
#200
Dallas, TX 75230-5605
Mailing address
7859 Walnut Hill LN
#200
Dallas, TX 75230-5605
Phone (324) 369-7661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP132031 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Dallas | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Dallas, TX
- NPI 1265565139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1629526447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7859 WALNUT HILL LN",
"address_2": "#200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752305605",
"telephone_number": "324-369-7661",
"fax_number": "214-369-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7859 WALNUT HILL LN",
"address_2": "#200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752305605",
"telephone_number": "324-369-7661",
"fax_number": "214-369-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFGREN",
"first_name": "COURTNEY",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP132031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.