Individual provider Active NPI

Courtney Fuller, CNP/FNP

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1801474887
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1021642 Issued in TX
Practice address
4710 Bellaire Blvd
Bellaire, TX 77401-4526
Phone
(713) 860-1755
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1021642 TX
Family Nurse Practitioner 363LF0000X 1021642 TX Primary

Addresses

Primary practice location

4710 Bellaire Blvd
Bellaire, TX 77401-4526

Mailing address

12922 New Cypress Dr
Cypress, TX 77429-2292

Other practice location 1

8303 Southwest Fwy Ste 111
Houston, TX 77074-1638
Phone (208) 640-6096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210420000663 TX Practitioner - Nurse Practitioner 5991113540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

4710 Bellaire Blvd
Suite 340
Bellaire, TX 77401-4530
Phone (713) 860-1755

8303 Southwest Fwy
Suite 111
Houston, TX 77074-1638
Phone (346) 738-9600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1021642TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medfuse Texas PLLC CurrentSince Feb 24, 2025 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Apr 5, 2021 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Apr 5, 2021 Accepting new patients

Locations

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Bellaire, TX 77401
Phone (346) 901-2400

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

8303 Southwest Fwy
Ste 111
Houston, TX 77074
Phone (208) 640-6096

11693 Westheimer Rd
Ste 180
Houston, TX 77077
Phone (346) 355-4352

27152 Interstate 45 N
Oak Ridge North, TX 77385
Phone (346) 443-2226

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Organizations & group practices 3

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1801474887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 NEW CYPRESS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014526",
            "telephone_number": "713-860-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8303 Southwest Fwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741638",
            "country_code": "US",
            "telephone_number": "208-640-6096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "COURTNEY",
        "credential": "CNP/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1021642",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.