Active NPI
Patrick Keith Coursey
- Social Worker
- San Antonio, TX
National Provider Identifier
1649012345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 113167
- Practice address
- 2829 Babcock Rd Ste 217
San Antonio, TX 78229-6010 - Phone
- (210) 261-1650
- NPI assigned
- Jun 12, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 113167 | TX | Primary |
Addresses
Primary practice location
2829 Babcock Rd Ste 217
San Antonio, TX 78229-6010
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060
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 |
|---|---|---|---|
| 113167 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1649012345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD STE 200S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134293",
"telephone_number": "210-261-1060",
"fax_number": "210-261-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 BABCOCK RD STE 217",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296010",
"telephone_number": "210-261-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURSEY",
"first_name": "PATRICK",
"middle_name": "KEITH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "113167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.