Courtney Dianne Vanni, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220158 Issued in LA

Practice address

2400 Hospital Dr Ste 310
Bossier City, LA 71111-2387

Phone

(318) 212-7430

Fax

(318) 212-7435

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WK Urgent Care Center-PierremontGroup PAC ID 8123016946, 39 clinicians

WK Neurology ClinicGroup PAC ID 2062649379, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Springhill Medical Center Hospital, Springhill, LA, CCN 190088

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• WK Neurology Clinic

  • Neurology Physician
  • Bossier City, LA
  • NPI 1336576529
  Medicare reassignment Care Compare group NPD
• WK Urgent Care Center-Pierremont

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1639115132
  Medicare reassignment Care Compare group NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• WK Advanced Surgery Center

  • Surgery Physician
  • Shreveport, LA
  • NPI 1609110634
  NPD (past)
• WK Urgent Care Center - Bossier

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1982640884
  NPD (past)

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

• Springhill Medical Services, Inc.

  • General Acute Care Hospital
  • Springhill, LA
  • NPI 1275506115
  Care Compare affiliation
• Springhill Medical Services, Inc.

  • Primary Care Clinic/Center
  • Sarepta, LA
  • NPI 1699191999

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1962078998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 310",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112387",
            "telephone_number": "318-212-7430",
            "fax_number": "318-212-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 310",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112387",
            "telephone_number": "318-212-7430",
            "fax_number": "318-212-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNI",
        "first_name": "COURTNEY",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Cathleen Luse Upshaw, PHARM.D.
• Usv Optical Inc.
• Jill J Vance, RN
• Patrick Vance, PT
• Tess B. Vanhoy, MD
• Dawn Marie Vaughan
• Chardia Veal
• Velocity MD LLC
• Velocity MD LLC
• Brandon A Venden, D.C.

• Family Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.

Verify at the official NPI Registry.