Individual provider Active NPI

Courtney Cupp Bickett, FNP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1871710509
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165795 Issued in VA
Practice address
201 N Hamilton St
Richmond, VA 23221-2601
Phone
(804) 355-4358
Fax
(804) 355-5216
NPI assigned
Apr 20, 2007
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 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 0024165795 VA Primary

Addresses

Primary practice location

201 N Hamilton St
Richmond, VA 23221-2601

Mailing address

201 N Hamilton St
Richmond, VA 23221-2601
Phone (804) 355-4358

Other names 1

  • Miss Courtney Dana Cupp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20181022001414 VA Practitioner - Nurse Practitioner 7911250949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 N Hamilton St
Richmond, VA 23221-2601
Phone (804) 355-4358

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Virginia League for Planned Parenthood Family CurrentSince Aug 11, 2018 Accepting new patients
Virginia Commonwealth University Past Accepting new patients

Locations

403 Yale Dr
Hampton, VA 23666
Phone (757) 826-2079

1122 N 25th St
Richmond, VA 23223
Phone (804) 355-4358

201 N Hamilton St
Richmond, VA 23221
Phone (804) 355-4358

515 Newtown Rd
Virginia Beach, VA 23462
Phone (757) 309-4827

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1871710509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HAMILTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212601",
            "telephone_number": "804-355-4358",
            "fax_number": "804-355-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N HAMILTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212601",
            "telephone_number": "804-355-4358",
            "fax_number": "804-355-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKETT",
        "first_name": "COURTNEY",
        "middle_name": "CUPP",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CUPP",
            "middle_name": "DANA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.