Individual provider Active NPI

Courtney Nicole Bellamy, CNP

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1154075182
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
66453 Issued in NM
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

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
66453NMMDFamily 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.

Verify at the official NPI Registry.