Active NPI
Courtney Little
- Contractor
- Sikeston, MO
National Provider Identifier
1154731446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2014011836
- Practice address
- 501 John R Blvd
Sikeston, MO 63801-2443 - Phone
- (573) 931-5349
- NPI assigned
- May 7, 2014
- Last updated
- May 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 2014011836 | MO | Primary |
Addresses
Primary practice location
501 John R Blvd
Sikeston, MO 63801-2443
Mailing address
501 John R Blvd
Sikeston, MO 63801-2443
Phone (573) 931-5349
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 |
|---|---|---|---|
| 2014011836 | MO | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1154731446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 JOHN R BLVD",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638012443",
"telephone_number": "573-931-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 JOHN R BLVD",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638012443",
"telephone_number": "573-931-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-07",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MO",
"license": "2014011836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sikeston, MO
- Latasha R Lewis
- LHCG Lxix, LLC (Elite Hospice)
- LHCG LXV, LLC
- LHCG LXV, LLC
- LHCG LXV, LLC (Adoration Home Health)
- Laurie D Littleton, PTA
- Logan & Seiler Inc (L&S Pharmacy Sikeston)
- Logan & Seiler Inc (Medical Arts Pharmacy)
- Logan & Seiler Inc (Medical Arts Pharmacy)
- Logan & Seiler Inc. (Medical Arts Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.