Individual provider Active NPI

Lauren Coursey, CRNP

  • Family Nurse Practitioner
  • Centre, AL
National Provider Identifier
1699422642
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03220115 Issued in AL
Practice address
401 Northwood Dr
Centre, AL 35960-1022
Phone
(256) 927-3607
Fax
(256) 927-3605
NPI assigned
Mar 9, 2022
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 F03220115 AL Primary

Addresses

Primary practice location

401 Northwood Dr
Centre, AL 35960-1022

Mailing address

401 Northwood Dr
Centre, AL 35960-1022
Phone (256) 927-3607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20221019002395 AL Practitioner - Nurse Practitioner 5799164299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perry Medical Clinic, P. C.Group PAC ID 0345276770, 6 clinicians

Practice addresses (Care Compare)

401 Northwood Dr
Centre, AL 35960-1022
Phone (256) 927-3607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F03220115ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Medical Clinic, P. C. CurrentSince Aug 1, 2022 Accepting new patients

Locations

401 Northwood Dr
Centre, AL 35960
Phone (256) 927-3607

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1699422642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601022",
            "telephone_number": "256-927-3607",
            "fax_number": "256-927-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601022",
            "telephone_number": "256-927-3607",
            "fax_number": "256-927-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSEY",
        "first_name": "LAUREN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F03220115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.