Individual provider Active NPI

Courtney Walter, APRN

  • Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1699372987
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11009600 Issued in FL
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

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210113002170 FL Practitioner - Nurse Practitioner 6204249147 Reassigns benefits to 5 organizations
I20250226001467 MA Practitioner - Nurse Practitioner 6204249147 Reassigns benefits to 1 organization
I20250227000985 WA Practitioner - Nurse Practitioner 6204249147 Reassigns benefits to 1 organization
I20250312001905 CO Practitioner - Nurse Practitioner 6204249147 Reassigns benefits to 1 organization

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
Henderson Behavioral Health, Inc.Group PAC ID 4688574643, 21 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

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

LicenseStateTypeSpecialty
APRN11009600FLMDFamily Nurse Practitioner
C-APN.0992685-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
CNP241057MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 26, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 15, 2020 Accepting new patients
Henderson Behavioral Health, Inc. CurrentSince Mar 14, 2024 Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 15, 2020 Accepting new patients
Thriveworks Clinical - Florida Inc Mental Health CurrentSince Oct 11, 2024 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Mar 14, 2024 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.

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

Verify at the official NPI Registry.