Active NPI
Ivette Cosme, M.A.CCC/SLP
- Speech-Language Pathologist
- Trumbull, CT
National Provider Identifier
1073767166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013028
- Practice address
- 434 Erwin St
Trumbull, CT 06611-5149 - Phone
- (917) 640-4138
- Fax
- (203) 386-0440
- NPI assigned
- Nov 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013028 | NY | Primary |
Addresses
Primary practice location
434 Erwin St
Trumbull, CT 06611-5149
Mailing address
434 Erwin St
Trumbull, CT 06611-5149
Phone (917) 640-4138
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 |
|---|---|---|---|
| 013028 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226793600000",
"number": "1073767166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 ERWIN ST",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115149",
"telephone_number": "917-640-4138",
"fax_number": "203-386-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 ERWIN ST",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066115149",
"telephone_number": "917-640-4138",
"fax_number": "203-386-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSME",
"first_name": "IVETTE",
"name_prefix": "Mrs.",
"credential": "M.A.CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-16",
"last_updated": "2008-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "013028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.