Individual provider Active NPI

Courtney Anne Hoppenrath, APRN, FNP-C

  • Family Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1700537198
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1066723 Issued in TX
Practice address
Academy Foot & Ankle Specialists
9140 E. State Hwy 114, Suite 150
Southlake, TX 86092-6526
Phone
(817) 424-3668
Fax
(817) 442-8637
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1066723 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1066723 TX Primary

Addresses

Primary practice location

Academy Foot & Ankle Specialists
9140 E. State Hwy 114, Suite 150
Southlake, TX 86092-6526

Mailing address

9140 E. State Hwy 114
Suite 150
Southlake, TX 76092-6529
Phone (817) 424-3668

Other identifiers 1

IdentifierTypeStateIssuer
1066723OtherTXTEXAS BOARD OF NURSING - APRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220722000936 TX Practitioner - Nurse Practitioner 3173904182

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1700537198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 E. STATE HWY 114",
            "address_2": "SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926529",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACADEMY FOOT & ANKLE SPECIALISTS",
            "address_2": "9140 E. STATE HWY 114, SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "860926526",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPENRATH",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2025-03-06",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1066723",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1066723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING - APRN",
            "identifier": "1066723",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.