Individual provider Active NPI

Timothy Logan Coursen

  • Paramedic
  • Riverton, WY
National Provider Identifier
1265368104
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
110151 Issued in WY
Practice address
1052 Petersdorf Dr
Riverton, WY 82501-2308
Phone
(307) 251-8158
NPI assigned
Jun 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 110151 WY Primary

Addresses

Primary practice location

1052 Petersdorf Dr
Riverton, WY 82501-2308

Mailing address

PO Box 504
Casper, WY 82602-0504

Other identifiers 1

IdentifierTypeStateIssuer
110151OtherWYWYOMING OFFICE OF EMS

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

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1265368104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826020504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 PETERSDORF DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012308",
            "telephone_number": "307-251-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSEN",
        "first_name": "TIMOTHY",
        "middle_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "WY",
            "license": "110151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING OFFICE OF EMS",
            "identifier": "110151",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.