Individual provider Active NPI

Courtnay Loral Kincaid, APRN, FNP-C

  • Family Nurse Practitioner
  • Pocahontas, AR
National Provider Identifier
1740765023
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005859 Issued in AR
Practice address
2018 Highway 67 S
Pocahontas, AR 72455-4169
Phone
(870) 202-1048
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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 A005859 AR Primary

Addresses

Primary practice location

2018 Highway 67 S
Pocahontas, AR 72455-4169

Mailing address

2018 Highway 67 S
Pocahontas, AR 72455-4169
Phone (870) 202-1048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20181121001501 AR Practitioner - Nurse Practitioner 4486908845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians
Doctors Health Group, IncGroup PAC ID 7315844586, 23 clinicians

Practice addresses (Care Compare)

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

4000 Linwood Dr
Suite a
Paragould, AR 72450-7224
Phone (870) 239-8503

4000 Linwood Dr
Suite a
Paragould, AR 72450-8894

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005859ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Aug 7, 2023 Accepting new patients
Doctors Health Group, Inc CurrentSince Aug 7, 2023 Accepting new patients
Doctors Health Group, Inc CurrentSince Aug 7, 2023 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Aug 7, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 207-0405

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 239-8503

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

Interoperability endpoints

  • Direct secure messaging: frmckincai@yourcarecommunity.org

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

Hospital & facility affiliations 1

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1740765023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 HIGHWAY 67 S",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554169",
            "telephone_number": "870-202-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 HIGHWAY 67 S",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554169",
            "telephone_number": "870-202-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "COURTNAY",
        "middle_name": "LORAL",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.