Courtney Clubb, MSN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141065 Issued in TX

Practice address

3415 Brentwood Dr
Odessa, TX 79762-6906

Phone

(432) 385-4076

NPI assigned

Mar 28, 2019

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

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.

• Permian Basin Kidney Center Inc

  • Nephrology Physician
  • Odessa, TX
  • NPI 1285199026
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1073074258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 WOODRIDGE LN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625232",
            "telephone_number": "806-543-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 BRENTWOOD DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626906",
            "telephone_number": "432-385-4076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 N Beau Jardin St",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670377336",
            "country_code": "US",
            "telephone_number": "316-250-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLUBB",
        "first_name": "COURTNEY",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141065",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-85470-022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Odessa (City of Odessa Ambulance Service)
• Clark Chiropractic Clinic
• Roger Dale Clark, HIS
• Virginia Gayle Clark, LPC
• Travis Clemmer, P.T.A.
• Steve Wayne Cobb, DDS
• Dawn Cockrell LM CPM, L.M., C.P.M.
• Ralph Cockrell, OD
• Maria M Cole, FNP
• Paul H Coleman, MD

• Family Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.