Active NPI
Courtney Lynn Haddock, FNP-C
- Registered Nurse
- Statesville, NC
National Provider Identifier
1235046442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5025422
- Practice address
- 705 Gaither Rd
Statesville, NC 28625-3450 - Phone
- (704) 871-1155
- NPI assigned
- Aug 25, 2026
- 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 | 5025422 | NC | Primary |
Addresses
Primary practice location
705 Gaither Rd
Statesville, NC 28625-3450
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277
Other practice location 1
118 Kirkman Ct
Troutman, NC 28166-8936
Phone (704) 871-1155
Other names 1
- Courtney Reilly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1235046442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286871845",
"telephone_number": "704-873-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GAITHER RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286253450",
"telephone_number": "704-871-1155"
}
],
"practiceLocations": [
{
"address_1": "118 Kirkman Ct",
"address_purpose": "LOCATION",
"city": "Troutman",
"state": "NC",
"postal_code": "281668936",
"country_code": "US",
"telephone_number": "704-871-1155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADDOCK",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5025422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "REILLY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.