Active NPI
Courtney Anderson Noell, M.D.
- Specialist
- Bedford, TX
National Provider Identifier
1396726428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- K1269
- Practice address
- 1615 Hospital Pkwy
Ste. 210
Bedford, TX 76022-5934 - Phone
- (817) 540-3121
- Fax
- (817) 355-4511
- NPI assigned
- Nov 7, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | K1269 | TX | Primary |
Addresses
Primary practice location
1615 Hospital Pkwy
Ste. 210
Bedford, TX 76022-5934
Mailing address
1615 Hospital Parkway
Suite 210
Bedford, TX 76022
Phone (817) 540-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142117401 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1269 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1396726428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 HOSPITAL PARKWAY",
"address_2": "SUITE 210",
"city": "BEDFORD",
"state": "TX",
"postal_code": "76022",
"telephone_number": "817-540-3121",
"fax_number": "817-355-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HOSPITAL PKWY",
"address_2": "STE. 210",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760225934",
"telephone_number": "817-540-3121",
"fax_number": "817-355-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOELL",
"first_name": "COURTNEY",
"middle_name": "ANDERSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K1269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142117401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.