IndividualActive
Courtney Fagan, REGISTERED NURSE
NPI 1972098697 · Diabetes Educator Registered Nurse · Racine, WI
Provider details
- NPI number
- 1972098697
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 184877-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3805 Spring Street
Bldg a - Suite 311
Racine, WI 53405-1600
Phone: (262) 687-6345
Street-level locationGet directions
Mailing address
6316 37th Ave
Kenosha, WI 53142-3364
Registry dates
- Enumerated
- 2018-06-25
- Last updated
- 2018-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.