Individual provider Active NPI

Cortnee Lynn Krallman, CNP

  • Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1487109559
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP02979 Issued in NM
Practice address
1521 W 13TH St
Clovis, NM 88101-5568
Phone
(575) 769-0888
NPI assigned
Aug 18, 2016
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP02979 NM Primary

Addresses

Primary practice location

1521 W 13TH St
Clovis, NM 88101-5568

Mailing address

1521 W 13TH St
Clovis, NM 88101-5568
Phone (575) 769-0888

Other names 1

  • Cortnee Lynn Whittington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP02979NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Val Verde Hospital Corporation CurrentSince Mar 12, 2018 Accepting new patients
Val Verde Hospital Corporation Current Accepting new patients
Val Verde Hospital Corporation Current Accepting new patients
Val Verde Hospital Corporation CurrentSince Mar 12, 2018 Accepting new patients

Locations

1801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-9200

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

Interoperability endpoints

  • Direct secure messaging: cortnee.krallman.1@30520.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1487109559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 W 13TH ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015568",
            "telephone_number": "575-769-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W 13TH ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015568",
            "telephone_number": "575-769-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRALLMAN",
        "first_name": "CORTNEE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP02979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORTNEE",
            "last_name": "WHITTINGTON",
            "middle_name": "LYNN",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.