Individual provider Active NPI

Courtney Chloe Wright

  • Adult Health Nurse Practitioner
  • Boaz, AL
National Provider Identifier
1770040941
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-138745 Issued in AL
Practice address
1180 Sardis Dr
Boaz, AL 35956-2139
Phone
(256) 593-9999
Fax
(256) 593-9141
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 31898 SC
Adult Health Nurse Practitioner 363LA2200X 5025257 NC
Adult Health Nurse Practitioner 363LA2200X 1-138745 AL Primary

Addresses

Primary practice location

1180 Sardis Dr
Boaz, AL 35956-2139

Mailing address

134 County Road 831
Boaz, AL 35957-7769
Phone (256) 659-8381

Other practice location 1

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone (888) 973-8821

Other practice location 2

1180 Sardis Dr
Boaz, AL 35956-2139
Phone (256) 593-9999

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
I20190726002635 AL Practitioner - Nurse Practitioner 1557697653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1770040941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 COUNTY ROAD 831",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359577769",
            "telephone_number": "256-659-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SARDIS DR",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359562139",
            "telephone_number": "256-593-9999",
            "fax_number": "256-593-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 SW 145th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330276171",
            "country_code": "US",
            "telephone_number": "888-973-8821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Sardis Dr",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359562139",
            "country_code": "US",
            "telephone_number": "256-593-9999",
            "fax_number": "256-593-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "COURTNEY",
        "middle_name": "CHLOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "31898",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5025257",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-138745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.