Active NPI
Courtney Nicole Bellamy, CNP
- Family Nurse Practitioner
- Midland, TX
National Provider Identifier
1154075182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 66453
- Practice address
- 3316 Andrews Hwy
Midland, TX 79703-5131 - Phone
- (432) 239-1077
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 66453 | NM | Primary |
Addresses
Primary practice location
3316 Andrews Hwy
Midland, TX 79703-5131
Mailing address
3629 El Cajon Ave
Odessa, TX 79765-2432
Phone (817) 690-0404
Other practice location 1
104 Clover Dr
Ruidoso, NM 88345-9411
Phone (817) 690-0404
Other practice location 2
1900 Sudderth Dr
Ruidoso, NM 88345-6117
Phone (575) 257-4772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66453 | NM | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1154075182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 EL CAJON AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797652432",
"telephone_number": "817-690-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 ANDREWS HWY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797035131",
"telephone_number": "432-239-1077"
}
],
"practiceLocations": [
{
"address_1": "104 Clover Dr",
"address_purpose": "LOCATION",
"city": "Ruidoso",
"state": "NM",
"postal_code": "883459411",
"country_code": "US",
"telephone_number": "817-690-0404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Sudderth Dr",
"address_purpose": "LOCATION",
"city": "Ruidoso",
"state": "NM",
"postal_code": "883456117",
"country_code": "US",
"telephone_number": "575-257-4772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLAMY",
"first_name": "COURTNEY",
"middle_name": "NICOLE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "66453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.