Active NPI
Kourtney Ortega, MSN, FNP
- Registered Nurse
- Kannapolis, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 275420
- Practice address
- 500 S Cannon Blvd
Kannapolis, NC 28083-5261 - Phone
- (980) 340-9505
- Fax
- (605) 570-3060
- NPI assigned
- Nov 7, 2022
- Last updated
- Apr 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F09240205 | NC | |
| Registered Nurse | 163W00000X | 275420 | NC | Primary |
Addresses
Primary practice location
500 S Cannon Blvd
Kannapolis, NC 28083-5261
Mailing address
500 S Cannon Blvd
Kannapolis, NC 28083-5261
Phone (980) 340-9505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
189 Rutledge Ave SW
Concord, NC 28025-5611
500 S Cannon Blvd
Kannapolis, NC 28083-5261
710 Gold Knob Rd
Salisbury, NC 28146-8163
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09240205 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainstreet and Kidsstreet of North Carolina PLLC | Current | Accepting new patients | |
| Mainstreet and Kidsstreet of North Carolina PLLC | Current | Accepting new patients | |
| Armur Family Medicine, PLLC | Current | Accepting new patients | |
| Albemarle Family and Occupational Medicine, PLLC | Past | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
1610 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (252) 326-0090
500 S Cannon Blvd
Kannapolis, NC 28083
Phone (980) 340-9505
130 James Ave
Locust, NC 28097
Phone (704) 271-3777
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kannapolis, NC
- NPI 1336956879
-
- Urgent Care Clinic/Center
- Burlington, NC
- NPI 1043170558
-
- Urgent Care Clinic/Center
- Locust, NC
- NPI 1144803040
-
- Family Medicine Physician
- Kannapolis, NC
- NPI 1447101548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1073221248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280835261",
"telephone_number": "980-340-9505",
"fax_number": "605-570-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280835261",
"telephone_number": "980-340-9505",
"fax_number": "605-570-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "KOURTNEY",
"credential": "MSN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F09240205",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "275420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.