Courtney E. Dickens, MSN, APN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

25509 Issued in TN

Practice address

405 Steam Plant Rd Ste 200
Gallatin, TN 37066-3024

Phone

(615) 442-3774

NPI assigned

Jun 7, 2019

Last updated

Apr 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Nashville, TN, CCN 447206
• Centerwell Home Health Home health agency, Lebanon, TN, CCN 447191

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Iris Medical Group

  • Primary Care Clinic/Center
  • Brentwood, TN
  • NPI 1851025902

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Advanced Diagnostic Imaging, PC

  dba AdvancedHealth

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  Nurse Practitioner

  Medicare reassignment NPD
• Moore Life Healthcare, PC

  dba Moore Life Urgent Care

  • Urgent Care Clinic/Center
  • Gallatin, TN
  • NPI 1760877419
  Medicare reassignment NPD
• Advanced Diagnostic Imaging PC

  dba Ankle and Foot Centers of Nashville

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Iris Wound Care, PC

  • Clinic/Center
  • Brentwood, TN
  • NPI 1568273605

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comprehensive Home Healthcare Services LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Nashville, TN
  • NPI 1689622466
  Care Compare affiliation
• Healthfield of Tennessee, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Lebanon, TN
  • NPI 1659301737
  Care Compare affiliation

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1689233264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PLANTATION WAY",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370667406",
            "telephone_number": "615-405-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STEAM PLANT RD STE 200",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663024",
            "telephone_number": "615-442-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "COURTNEY",
        "middle_name": "E.",
        "credential": "MSN, APN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25509",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "00000025509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermal Dynamics
• Jessica Spears Derusha, RDH
• Amber Devore, OT
• Roger Todd Dewilde, M.ED. LPC-MHSP(TEMP)
• Dialysis Associates, LLC (Fresenius Medical Care Gallatin)
• Reginald Peeler Dickerson, M.D
• Shaw Stanford Dickerson, DPT
• Raegan Ann Marie Diller, MD
• Jamilla Disu
• Johnathan Michael DO

• Nurse Practitioner in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.