Courtney Clemmens Nolan, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R197530 Issued in MD

Practice address

301 International Cir Ste 100
Hunt Valley, MD 21030-1334

Phone

(410) 433-2200

Fax

(410) 785-1987

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hollis Seunarine Mdpa LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1891726378
  Medicare reassignment NPD
• Maryland Family Care, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1598718256
  Medicare reassignment NPD
• Park Heights Medical Clinic LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1639101462
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1477077386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 INTERNATIONAL CIR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301334",
            "telephone_number": "410-433-2200",
            "fax_number": "410-785-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 INTERNATIONAL CIR STE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301334",
            "telephone_number": "410-433-2200",
            "fax_number": "410-785-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "COURTNEY",
        "middle_name": "CLEMMENS",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R197530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Nelson
• Kathy Niager
• Amy Nicholson, LCSW-C
• John J Nietubicz, P.T., M.T.C.
• Victoria Elizabeth Niller, FNP-C
• Jade Nolan
• North American Partners in Anesthesia Maryland LLC
• Jessica Noury
• Nova Wellness LLC
• Julian Nwana

• Pediatric Nurse Practitioner in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.