Courtney Carlisle Stellos, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-144810 Issued in AL

Practice address

171 Town Center Dr
Anniston, AL 36205

Phone

(256) 237-1625

Fax

(256) 241-5400

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Paige Carlisle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: courtney.stellos@nasa.directbygreenway.com

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.

• Longleaf Primary Care, LLC

  • Family Medicine Physician
  • Anniston, AL
  • NPI 1255062832
  NPD (past)
• The Surgical Clinic of Anniston, PA

  • Specialist
  • Anniston, AL
  • NPI 1437121050
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1568021822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5430",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36205",
            "telephone_number": "256-241-6310",
            "fax_number": "256-238-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TOWN CENTER DR",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36205",
            "telephone_number": "256-237-1625",
            "fax_number": "256-241-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLOS",
        "first_name": "COURTNEY",
        "middle_name": "CARLISLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-144810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CARLISLE",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ty K Stansell, MD
• Chanae Staples
• Kirby Mikelle Starks
• State of Alabama
• State of Alabama Department of Public Health (Calhoun County Health Dept Flu-Pneu)
• Amy Lajune Stephens, NP-C
• Stepping Stones to Success, LLC
• Gizelle Stevens, MD
• Katherine Brooker Stevens, OTR/L
• Eric Newman Steverson, PHARM D., M.D.

• Family Nurse Practitioner in Anniston, AL
• Providers in Anniston, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.