Individual provider Active NPI

Courtney Reicherter

  • Adult Health Nurse Practitioner
  • Alamogordo, NM
National Provider Identifier
1699511501
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311858 Issued in NY
Practice address
916 N White Sands Blvd
Alamogordo, NM 88310-6926
Phone
(575) 488-2720
Fax
(575) 936-4077
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311858 NY Primary

Addresses

Primary practice location

916 N White Sands Blvd
Alamogordo, NM 88310-6926

Mailing address

1871 Dover Rd
Wantagh, NY 11793-3626
Phone (516) 639-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20240905003429 NM Practitioner - Nurse Practitioner 3173063146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Sands Family Practice Clinic, IncGroup PAC ID 6901702976, 14 clinicians

Practice addresses (Care Compare)

923 9TH St
Suite B
Alamogordo, NM 88310-6431
Phone (575) 488-2720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311858NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White Sands Family Practice Clinic, Inc. CurrentSince Aug 20, 2024 Accepting new patients

Locations

923 9th St
Ste B
Alamogordo, NM 88310
Phone (575) 437-9900

916 N White Sands Blvd
Alamogordo, NM 88310
Phone (575) 434-0180

1916 W 21st St
Clovis, NM 88101
Phone (575) 935-2121

3420 N Grimes St
Ste 200
Hobbs, NM 88240

110 W College Blvd
Ste D
Roswell, NM 88201

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/h9KqHATFapnAh9QYI0aR69I-qK5X4t_N/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1699511501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 DOVER RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933626",
            "telephone_number": "516-639-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N WHITE SANDS BLVD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106926",
            "telephone_number": "575-488-2720",
            "fax_number": "575-936-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHERTER",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.