Alicia Robin Coursey, CCHT

Primary specialty

Renal Dialysis TechnicianTaxonomy code 2472R0900X

Practice address

2101 W Broadway St
Bolivar, MO 65613-1888

Phone

(417) 326-3112

NPI assigned

Oct 5, 2023

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1679353692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 E 430TH RD",
            "city": "HALF WAY",
            "state": "MO",
            "postal_code": "656639131",
            "telephone_number": "417-399-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W BROADWAY ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131888",
            "telephone_number": "417-326-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSEY",
        "first_name": "ALICIA",
        "middle_name": "ROBIN",
        "credential": "CCHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Renal Dialysis",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela D Collins, MD
• Angelia D Collins, LCSW
• Comprehensive Wellness Clinic
• Jacob (Jake) William Condren, PA-C
• Joshua Condren
• Mesha Cowan, RDN, LDN
• Michael Lewis Crafton, PHARM.D.
• Olivia Jenae Cumley, FNP
• Carol D Curless, FNP
• Mandy R D'Agostino, FNP-C

• Other Technician in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Other Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.