Provider Demographics
NPI:1437028289
Name:ECKERT, COURTNEY RAHE (AGACNP-C)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:RAHE
Last Name:ECKERT
Suffix:
Gender:F
Credentials:AGACNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:KS
Mailing Address - Zip Code:67467-8533
Mailing Address - Country:US
Mailing Address - Phone:785-527-1023
Mailing Address - Fax:
Practice Address - Street 1:1302 PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:KS
Practice Address - Zip Code:67467-8533
Practice Address - Country:US
Practice Address - Phone:785-527-1023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-84288-072208M00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine