Active NPI
Courtney Anne Dickens
- Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP146156
- Practice address
- 925 N Shepherd Dr
Houston, TX 77008-6526 - Phone
- (832) 325-7131
- Fax
- (713) 383-1479
- NPI assigned
- Nov 1, 2021
- Last updated
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP146156 | TX | Primary |
Addresses
Primary practice location
925 N Shepherd Dr
Houston, TX 77008-6526
Mailing address
925 N Shepherd Dr
Houston, TX 77008-6526
Phone (832) 325-7131
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6410 Fannin St
Houston, TX 77030-3005
929 B Gessner Rd
Suite 106
Houston, TX 77024-2659
Phone (713) 486-1755
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP146156 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Nurse Practitioner | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
925 N Shepherd Dr
Houston, TX 77008
Phone (713) 486-7200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hermann Imaging Centers-East Houston Center
- Physiological Laboratory
- Houston, TX
- NPI 1154595155
Hospital
-
dba MHHS Memorial City Outpatient Imaging Center
- Physiological Laboratory
- Houston, TX
- NPI 1275568032
Hospital
-
dba Memorial Hermann Imaging Centers-Pasadena Center
- Physiological Laboratory
- Pasadena, TX
- NPI 1437323482
Hospital
-
dba Memorial Hermann Imaging Centers-Willowbrook Center
- Physiological Laboratory
- Houston, TX
- NPI 1588838593
Hospital
-
dba Memorial Hermann Imaging Center-Upper Kirby
- Physiological Laboratory
- Houston, TX
- NPI 1639343635
Hospital
-
dba Memorial Hermann Memorial City Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
dba Memorial Hermann Imaging Centers-First Colony Center
- Physiological Laboratory
- Sugar Land, TX
- NPI 1841465697
Hospital
-
dba Memorial Hermann Imaging Centers-Clearlake Center
- Physiological Laboratory
- Houston, TX
- NPI 1952575904
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1821753245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 N SHEPHERD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770086526",
"telephone_number": "832-325-7131",
"fax_number": "713-383-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 N SHEPHERD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770086526",
"telephone_number": "832-325-7131",
"fax_number": "713-383-1479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "COURTNEY",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP146156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- William Earl Dick III, L.AC.
- Petra Monika Dickamore
- Nancy Dickason, M.D.
- Dickens and Associates P.C. Dba Fulton Dental Associates
- Andrea Stacy Dickens, PHARMD
- Diana Lynn Dickens, MD
- Jordan Taylor Dickens, APRN, PMHNP-BC
- Cristin A Dickerson, M.D.
- Heather Anne Dickerson, M.D.
- Karen Waldrop Dickerson, PHD. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.