Individual provider Active NPI

Diamond Tiea Fern Courville, APRN- FNP-C

  • Family Nurse Practitioner
  • Colville, WA
National Provider Identifier
1770074478
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61591647 Issued in WA
Practice address
143 Garden Homes Dr
Colville, WA 99114-9229
Phone
(509) 684-3701
NPI assigned
May 29, 2018
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 AP61591647 WA Primary
Primary Care Nurse Practitioner 363LP2300X NUR-APRN-LIC-239199 MT
Registered Nurse 163W00000X 75755 MT

Addresses

Primary practice location

143 Garden Homes Dr
Colville, WA 99114-9229

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421

Other practice location 1

#5 4th Ave. E.
Polson, MT 59860
Phone (406) 745-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20250515000368 MT Practitioner - Nurse Practitioner 7113445057 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Medical Services Intermountain PCGroup PAC ID 1951880152, 5 clinicians
Healthdrive Medical Services Southeast LLCGroup PAC ID 4284075722, 29 clinicians

Practice addresses (Care Compare)

1500 32ND St S
Great Falls, MT 59405-5300
Phone (888) 964-6681

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75755MTMDRegistered Nurse
AP61591647WAMDFamily Nurse Practitioner
NUR-APRN-LIC-239199MTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coe Medical Intermountain PLLC CurrentSince Jan 26, 2026 Accepting new patients
Healthdrive Medical Services Intermountain, PC Family CurrentSince Jan 26, 2026 Accepting new patients
Theoria Medical CurrentSince Jun 27, 2025 Accepting new patients
Mission Valley Wellness, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

200 N Oregon St
Dillon, MT 59725
Phone (406) 683-5105

1130 17th Ave S
Great Falls, MT 59405
Phone (406) 771-4500

1500 32nd St S
Great Falls, MT 59405
Phone (406) 761-4300

206 Main St SW
Ronan, MT 59864
Phone (307) 410-0794

Interoperability endpoints

  • Direct secure messaging: diamond.courville@889974658498564.direct.elationemr.com

Organizations & group practices 6

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1770074478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 GARDEN HOMES DR",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991149229",
            "telephone_number": "509-684-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "#5 4th Ave. E.",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "59860",
            "country_code": "US",
            "telephone_number": "406-745-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURVILLE",
        "first_name": "DIAMOND",
        "middle_name": "TIEA FERN",
        "credential": "APRN- FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61591647",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MT",
            "license": "NUR-APRN-LIC-239199",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "75755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.