Active NPI
Carly Courtney, APRN, FNP-C
- Family Nurse Practitioner
- The Woodlands, TX
National Provider Identifier
1609481985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1011817
- Practice address
- 9595 Six Pines Drive #4250
Suite 105
The Woodlands, TX 77380 - Phone
- (346) 745-1498
- NPI assigned
- Sep 13, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1011817 | TX | Primary |
Addresses
Primary practice location
9595 Six Pines Drive #4250
Suite 105
The Woodlands, TX 77380
Mailing address
27323 Shady Hills Landing LN
Spring, TX 77386-3227
Phone (432) 556-6875
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1011817 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1609481985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27323 SHADY HILLS LANDING LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773863227",
"telephone_number": "432-556-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9595 SIX PINES DRIVE #4250",
"address_2": "SUITE 105",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77380",
"telephone_number": "346-745-1498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURTNEY",
"first_name": "CARLY",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-13",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1011817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.