Queen City Women'S Health

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

Legal business name

QUEEN CITY WOMEN'S HEALTH

Practice address

108 Broad St
Selma, AL 36701-4639

Phone

(334) 505-0873

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Courtney Camille Carter, CRNPNPI 1407306624

Title

Nurse Practitioner/Owner

Phone

(334) 505-0873

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Carter, CRNP

  • Adult Health Nurse Practitioner
  • Selma, AL
  • NPI 1407306624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1316668403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CRESTWOOD DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016044",
            "telephone_number": "334-505-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014639",
            "telephone_number": "334-505-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "334-505-0873",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reneka Kiera Polk, NP
• Preferred Eye Care LLC
• Primary Eyecare Center LLC
• Rheannon Elizabeth Primm, DMD
• Prohealth Selma, Inc
• Sherry Julian Ramsey, LPC
• Mehtab Rana
• Cesar Arthro Ravelo, M.D.
• Reach Occupational Therapy
• Sravan Kumar Reddy Bezwada, M.D.

• Obstetrics & Gynecology Nurse Practitioner in Selma, AL
• Providers in Selma, AL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.