Kellie Lynn Cortez, BSN RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

435940 Issued in NM

Practice address

100 Franklin Street
Grady, NM 88120

Phone

(575) 357-2192

Fax

(575) 357-2192

NPI assigned

Sep 16, 2025

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Regional Educational Center #6

  dba San Jon School Based Clinic

  • Local Education Agency (LEA)
  • San Jon, NM
  • NPI 1144575044
  NPD (past)
• Regional Educational Center #6

  • Local Education Agency (LEA)
  • Portales, NM
  • NPI 1881789337
  NPD (past)

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1801767520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300847",
            "telephone_number": "575-562-4458",
            "fax_number": "575-562-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRANKLIN STREET",
            "city": "GRADY",
            "state": "NM",
            "postal_code": "88120",
            "telephone_number": "575-357-2192",
            "fax_number": "575-357-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "KELLIE",
        "middle_name": "LYNN",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "435940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Booth, RN
• Amy Joyce Gilbreath, RN
• Irene Anne Harlow, MS CCCSLP

• School Registered Nurse in Grady, NM
• Providers in Grady, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.