Individual provider Active NPI

Courtney Dianne Entrekin, APRN-CNP

  • Family Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1962078998
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220158 Issued in LA
Practice address
2449 Hospital Dr Ste 440
Bossier City, LA 71111-1918
Phone
(318) 212-7430
Fax
(318) 212-7435
NPI assigned
Jun 1, 2021
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 220158 LA Primary

Addresses

Primary practice location

2449 Hospital Dr Ste 440
Bossier City, LA 71111-1918

Mailing address

2449 Hospital Dr Ste 440
Bossier City, LA 71111-1918
Phone (318) 212-7430

Other practice location 1

1666 E Bert Kouns Industrial Loop Ste 105
Shreveport, LA 71105-5718
Phone (318) 212-3520

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
I20210826000989 LA Practitioner - Nurse Practitioner 9335544519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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)

1666 E Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71105-5718
Phone (318) 212-3520

2400 Hospital Dr
Suite 310
Bossier City, LA 71111-2387
Phone (318) 741-2900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Jul 19, 2021 Accepting new patients
WK Neurology Clinic CurrentSince Sep 1, 2024 Accepting new patients
WK Urgent Care Center-Pierremont CurrentSince May 31, 2023 Accepting new patients
WK Advanced Surgery Center Past Accepting new patients
WK Bossier ENT & Allergy Institute PastSince Jul 5, 2020 Accepting new patients
WK Urgent Care Center - Bossier PastSince Jun 1, 2012 Accepting new patients

Locations

1001 Lackland Blvd
Ste 110
Benton, LA 71006
Phone (318) 935-1500

2300 Hospital Dr
Ste 180
Bossier City, LA 71111
Phone (318) 212-7520

2400 Hospital Dr
Ste 310
Bossier City, LA 71111
Phone (318) 212-7810

2449 Hospital Dr
Ste 440
Bossier City, LA 71111
Phone (318) 212-7288

5751 Shed Rd
Ste 100
Bossier City, LA 71111
Phone (318) 935-1900

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

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

5621 N Market St
Ste 100
Shreveport, LA 71107
Phone (318) 935-1700

9460 Ellerbe Rd
Ste 140
Shreveport, LA 71106
Phone (318) 213-7070

Organizations & group practices 6

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 6

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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1962078998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 440",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111918",
            "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": "2449 HOSPITAL DR STE 440",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111918",
            "telephone_number": "318-212-7430",
            "fax_number": "318-212-7435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1666 E Bert Kouns Industrial Loop Ste 105",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055718",
            "country_code": "US",
            "telephone_number": "318-212-3520",
            "fax_number": "318-212-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTREKIN",
        "first_name": "COURTNEY",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.