Individual provider Active NPI

Courtney Holcomb, FNP

  • Family Nurse Practitioner
  • Frankston, TX
National Provider Identifier
1770162406
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78602 Issued in TX
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

Updated by the provider on Apr 8, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
78602TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Dec 1, 2024 Accepting new patients
Total Point - Desoto LLC Family CurrentSince Dec 25, 2022 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.

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 251 clinicians

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

Verify at the official NPI Registry.