Active NPI
Alissa Beth Hilburn, RN
- Registered Nurse
- Hayti, MO
National Provider Identifier
1760817498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2013026700
- Practice address
- 501 Hwy J
Hayti, MO 63851 - Phone
- (573) 359-2600
- Fax
- (573) 359-1103
- NPI assigned
- Sep 12, 2013
- Last updated
- Sep 12, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2013026700 | MO | Primary |
Addresses
Primary practice location
501 Hwy J
Hayti, MO 63851
Mailing address
501 Hwy J
Hayti, MO 63851
Phone (573) 359-2600
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013026700 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba FCC Primary Care
- Primary Care Clinic/Center
- Poplar Bluff, MO
- NPI 1235738493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1760817498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 HWY J",
"city": "HAYTI",
"state": "MO",
"postal_code": "63851",
"telephone_number": "573-359-2600",
"fax_number": "573-359-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 HWY J",
"city": "HAYTI",
"state": "MO",
"postal_code": "63851",
"telephone_number": "573-359-2600",
"fax_number": "573-359-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILBURN",
"first_name": "ALISSA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2013026700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayti, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.