Individual provider Active NPI

Catherine L Lacourt, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1942232988
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34506 Issued in AZ
Practice address
3420 E Shea Blvd Ste 200
Phoenix, AZ 85028
Phone
(480) 977-6000
Fax
(248) 269-0631
NPI assigned
Jul 7, 2006
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34506 AZ Primary

Addresses

Primary practice location

3420 E Shea Blvd Ste 200
Phoenix, AZ 85028

Mailing address

3420 E Shea Blvd Ste 200
Phoenix, AZ 85028-3348
Phone (480) 977-6000

Other practice location 1

10645 N Tatum Blvd Ste 200-152
Phoenix, AZ 85028-3068
Phone (602) 380-6012

Other identifiers 1

IdentifierTypeStateIssuer
957970MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000304 AZ Practitioner - Family Practice 8123080637 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siren Medical PCGroup PAC ID 6608298419, 19 clinicians

Practice addresses (Care Compare)

14631 N Cave Creed Rd
Suite 104
Phoenix, AZ 85022-4100
Phone (602) 715-2568

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34506AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc Family Medicine CurrentSince Oct 15, 2024 Accepting new patients
Siren Medical PC Family Medicine CurrentSince Sep 7, 2022 Accepting new patients
Senior Doc Arizona PC Family Medicine CurrentSince Oct 15, 2024 Accepting new patients
Senior Doc Az Medical PC Family Medicine CurrentSince Oct 15, 2024 Accepting new patients
Alpine Chiropractic Center PA PastSince Mar 1, 2020 Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients
Vpa PC Family Medicine PastSince Jan 1, 2020 Accepting new patients

Locations

14631 N Cave Creek Rd
Ste 103
Phoenix, AZ 85022

14631 N Cave Creek Rd
Ste 104
Phoenix, AZ 85022
Phone (602) 715-2568

2999 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (480) 618-5760

2999 N 44th St
Ste 220
Phoenix, AZ 85018
Phone (602) 288-4059

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Hope, LLCGlendale, AZ, CCN 031655 Hospice Contracted Managing Employee Oct 23, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1942232988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283348",
            "telephone_number": "480-977-6000",
            "fax_number": "248-269-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "480-977-6000",
            "fax_number": "248-269-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10645 N Tatum Blvd Ste 200-152",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850283068",
            "country_code": "US",
            "telephone_number": "602-380-6012",
            "fax_number": "480-287-9269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOURT",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "957970",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.