Active NPI
Courtney Walter, APRN
- Nurse Practitioner
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11009600
- Practice address
- 4400 W Sample Rd Ste 112P
Coconut Creek, FL 33073-3457 - Phone
- (561) 215-9959
- Fax
- (561) 370-6802
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11009600 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN11009600 | FL | |
| Mental Health Counselor | 101YM0800X | APRN11009600 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP241057 | ME | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11009600 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0992685-C-NP | CO |
Addresses
Primary practice location
4400 W Sample Rd Ste 112P
Coconut Creek, FL 33073-3457
Mailing address
4400 W Sample Rd Ste 112P
Coconut Creek, FL 33073-3457
Phone (561) 215-9959
Other practice location 1
330 SW 27th Ave
Fort Lauderdale, FL 33312-2051
Phone (561) 215-9959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MA, WA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1957 Jackson St
Hollywood, FL 33020-5021
Phone (954) 486-4005
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11009600 | FL | MD | Family Nurse Practitioner |
| C-APN.0992685-C-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNP241057 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Henderson Behavioral Health, Inc. | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Thriveworks Clinical - Florida Inc | Mental Health | Current | Accepting new patients |
| Henderson Behavioral Health, Inc. | Past | Accepting new patients |
Locations
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
4332 Cortez Rd W
Bradenton, FL 34210
Phone (941) 277-8040
1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004
2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514
330 SW 27th Ave
Ft Lauderdale, FL 33312
Phone (954) 463-0911
1957 Jackson St
Hollywood, FL 33020
Phone (954) 791-4300
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
4740 N State Road 7
Ste 201
Lauderdale Lakes, FL 33319
Phone (954) 497-3850
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Lauderdale Lakes, FL
- NPI 1972533271
-
- Psychiatric/Mental Health Nurse Practitioner
- Coconut Creek, FL
- NPI 1982445367
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Mental Health Counselor
- Fort Lauderdale, FL
- NPI 1396360996
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
-
- Family Medicine Physician
- Hollywood, FL
- NPI 1972454528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1699372987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 W SAMPLE RD STE 112P",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733457",
"telephone_number": "561-215-9959",
"fax_number": "561-370-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W SAMPLE RD STE 112P",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733457",
"telephone_number": "561-215-9959",
"fax_number": "561-370-6802"
}
],
"practiceLocations": [
{
"address_1": "330 SW 27th Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333122051",
"country_code": "US",
"telephone_number": "561-215-9959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTER",
"first_name": "COURTNEY",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11009600",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11009600",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "APRN11009600",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP241057",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11009600",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "C-APN.0992685-C-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.