Individual provider Active NPI

Courtney Durbin Rich, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1942041694
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235757 Issued in LA
Practice address
8001 Youree Dr Ste 550
Shreveport, LA 71115-2332
Phone
(318) 212-2984
Fax
(318) 212-3404
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 235757 LA Primary

Addresses

Primary practice location

8001 Youree Dr Ste 550
Shreveport, LA 71115-2332

Mailing address

8001 Youree Dr Ste 550
Shreveport, LA 71115-2332
Phone (318) 212-2984

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
I20240903003268 LA Practitioner - Nurse Practitioner 6608315759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WK Northwest Internal MedicineGroup PAC ID 8426242751, 2 clinicians

Practice addresses (Care Compare)

8001 Youree Dr
Suite 550
Shreveport, LA 71115-2332
Phone (318) 212-2984

Hospital & facility affiliations

  • Allegiance Home Health of Northwest la Home health agency, Minden, LA, CCN 197211
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235757LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Northwest Internal Medicine CurrentSince Oct 29, 2024 Accepting new patients
Dr. Wen Liu Inc. CurrentSince Jul 15, 2024 Accepting new patients

Locations

8001 Youree Dr
Ste 880
Shreveport, LA 71115
Phone (318) 212-3908

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

8001 Youree Dr
Ste 550
Shreveport, LA 71115
Phone (318) 212-2984

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.

Hospital & facility affiliations 5

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1942041694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152332",
            "telephone_number": "318-212-2984",
            "fax_number": "318-212-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 550",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152332",
            "telephone_number": "318-212-2984",
            "fax_number": "318-212-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "COURTNEY",
        "middle_name": "DURBIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "235757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.