Individual provider Active NPI

Courtney Jean Stewart, APRN, NP-C

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1629557582
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005828 Issued in AR
Practice address
2711 W Kingshighway Ste 6
Paragould, AR 72450-2645
Phone
(870) 215-0622
Fax
(870) 215-0611
NPI assigned
Aug 11, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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 A005828 AR Primary

Addresses

Primary practice location

2711 W Kingshighway Ste 6
Paragould, AR 72450-2645

Mailing address

2711 W Kingshighway Ste 6
Paragould, AR 72450-2645
Phone (870) 215-0622

Other practice location 1

225 Physicians Park Ste 203
Poplar Bluff, MO 63901-3921
Phone (573) 686-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180913003186 AR Practitioner - Nurse Practitioner 6204186166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 W Kingshighway
Paragould, AR 72450-4197

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005828ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Office PC CurrentSince Aug 6, 2018 Accepting new patients
Arkansas Methodist Hospital Corporation Family CurrentSince Sep 5, 2023 Accepting new patients
Ammc Physician Services, Inc Past Accepting new patients

Locations

1000 W Kingshighway
Ste 14
Paragould, AR 72450
Phone (870) 239-7103

1000 W Kingshighway
Ste 7
Paragould, AR 72450
Phone (870) 236-8855

1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669

2711 W Kingshighway
Ste 6
Paragould, AR 72450
Phone (870) 215-0622

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

225 Physicians Park
Ste 203
Poplar Bluff, MO 63901
Phone (573) 686-4750

Organizations & group practices 3

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 3

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": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1629557582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 W KINGSHIGHWAY STE 6",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502645",
            "telephone_number": "870-215-0622",
            "fax_number": "870-215-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W KINGSHIGHWAY STE 6",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502645",
            "telephone_number": "870-215-0622",
            "fax_number": "870-215-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Physicians Park Ste 203",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013921",
            "country_code": "US",
            "telephone_number": "573-686-4750",
            "fax_number": "573-686-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "COURTNEY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.