Active NPI
Diamond Tiea Fern Courville, APRN- FNP-C
- Family Nurse Practitioner
- Colville, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61591647
- Practice address
- 143 Garden Homes Dr
Colville, WA 99114-9229 - Phone
- (509) 684-3701
- NPI assigned
- May 29, 2018
- Last updated
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 75755 | MT | MD | Registered Nurse |
| AP61591647 | WA | MD | Family Nurse Practitioner |
| NUR-APRN-LIC-239199 | MT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coe Medical Intermountain PLLC | Current | Accepting new patients | |
| Healthdrive Medical Services Intermountain, PC | Family | Current | Accepting new patients |
| Theoria Medical | Current | Accepting new patients | |
| Mission Valley Wellness, PLLC | Current | 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
- 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.
-
- Family Medicine Physician
- Framingham, MA
- NPI 1518836436
MT
-
- Health Service Clinic/Center
- Ronan, MT
- NPI 1639982796
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Logan Health - Whitefish Outpatient Laboratory
- Critical Access Hospital
- Whitefish, MT
- NPI 1396710851
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.