NPIMap

Individual provider Active NPI

Courtney Hardy, APRN, FNP

  • Family Nurse Practitioner
  • Beaver Dam, KY
National Provider Identifier
1710659859
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017158 Issued in KY
Practice address
1307 N Main St
Beaver Dam, KY 42320-8957
Phone
(270) 274-5601
NPI assigned
Sep 28, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 243697 AZ
Family Nurse Practitioner 363LF0000X 3017158 KY Primary
Registered Nurse 163W00000X 243697 AZ

Addresses

Primary practice location

1307 N Main St
Beaver Dam, KY 42320-8957

Mailing address

1325 Triplett St
Owensboro, KY 42303-3163
Phone (270) 688-4325

Other practice location 1

1325 Triplett St
Owensboro, KY 42303-3163
Phone (270) 688-4325

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chardy119195@direct.owensborohealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106001383 KY Practitioner - Nurse Practitioner 0648661371 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

1325 Triplett St
B
Owensboro, KY 42303-3163
Phone (270) 688-4325

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
243697AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc CurrentSince Nov 8, 2022 Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Nov 8, 2022 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Jan 24, 2022 Accepting new patients
Owensboro Health Medical Group, Inc Family Past Accepting new patients

Locations

1307 N Main St
Beaver Dam, KY 42320
Phone (270) 274-5601

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 255-3244

1325 Triplett St
Owensboro, KY 42303
Phone (270) 686-8500

1325 Triplett St
#B
Owensboro, KY 42303
Phone (270) 688-4235

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1710659859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 TRIPLETT ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033163",
            "telephone_number": "270-688-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208957",
            "telephone_number": "270-274-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Triplett St",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423033163",
            "country_code": "US",
            "telephone_number": "270-688-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "COURTNEY",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "243697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017158",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "243697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chardy119195@direct.owensborohealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1307 N Main St",
            "city": "Beaver Dam",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423208957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver Dam, KY

Sources for this page

Verify at the official NPI Registry.