Individual provider Active NPI

Courtney Viola Reid, FNP

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1932981610
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200487 Issued in LA
Practice address
15813 Paul Vega MD Dr Ste 300
Hammond, LA 70403-1431
Phone
(985) 230-7675
Fax
(985) 230-7676
NPI assigned
Oct 18, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 200487 LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr Ste 300
Hammond, LA 70403-1431

Mailing address

15813 Paul Vega MD Dr Ste 300
Hammond, LA 70403-1431
Phone (985) 230-7675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240125002199 LA Practitioner - Nurse Practitioner 2860845930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Physician Group LLCGroup PAC ID 9133378870, 62 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15813 Paul Vega MD Dr
Hammond, LA 70403-1426
Phone (985) 230-7675

15813 Paul Vega MD Dr
Suite 300
Hammond, LA 70403-1431
Phone (985) 230-7675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200487LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC Single Specialty CurrentSince Oct 26, 2023 Accepting new patients

Locations

15742 Medical Arts Dr
Hammond, LA 70403
Phone (985) 230-5437

15770 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 542-1226

15770 Paul Vega Md Dr
Ste 104A
Hammond, LA 70403
Phone (985) 230-1850

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Hammond, LA 70403

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Ste 201
Hammond, LA 70403
Phone (985) 230-1580

15813 Paul Vega Md Dr
Ste 300
Hammond, LA 70403
Phone (985) 230-7675

17199 Spring Ranch Rd
Ste 200
Livingston, LA 70754
Phone (225) 686-4930

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1932981610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 300",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-7675",
            "fax_number": "985-230-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 300",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-7675",
            "fax_number": "985-230-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "COURTNEY",
        "middle_name": "VIOLA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "200487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.