Active NPI
Courtney Holcomb, FNP
- Family Nurse Practitioner
- Frankston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 78602
- Practice address
- 11140 Hickory LN
Frankston, TX 75763-4824 - Phone
- (936) 674-9372
- NPI assigned
- Apr 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 78602 | TX | Primary |
Addresses
Primary practice location
11140 Hickory LN
Frankston, TX 75763-4824
Mailing address
11140 Hickory LN
Frankston, TX 75763-4824
Phone (936) 674-9372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230508000325 | TX | Practitioner - Nurse Practitioner | 1456716869 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78602 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Rehab Consultants PLLC | Family | Current | Accepting new patients |
| Total Point - Desoto LLC | Family | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
1601 Elm St
Ste 4210
Dallas, TX 75201
940 York Dr
Desoto, TX 75115
Phone (972) 331-4554
1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220
1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370
4616 NE Stallings Dr
Nacogdoches, TX 75965
Phone (512) 288-8844
227 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 564-4596
2450 E 5th St
Tyler, TX 75701
Phone (903) 592-6745
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
Family, TX
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Rehab Consultants PLLC
Practice addresses (Care Compare)
4616 NE Stallings Dr
Nacogdoches, TX 75965-1608
Phone (936) 569-5600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1770162406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11140 HICKORY LN",
"city": "FRANKSTON",
"state": "TX",
"postal_code": "757634824",
"telephone_number": "936-674-9372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11140 HICKORY LN",
"city": "FRANKSTON",
"state": "TX",
"postal_code": "757634824",
"telephone_number": "936-674-9372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "COURTNEY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "78602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.