Active NPI
Paul Cobb, RN
- Registered Nurse
- Providence, RI
National Provider Identifier
1164465175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN35524
- Practice address
- 530 N Main St
Providence, RI 02904-5762 - Phone
- (401) 274-2500
- NPI assigned
- Jun 14, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN35524 | RI | Primary |
Addresses
Primary practice location
530 N Main St
Providence, RI 02904-5762
Mailing address
528 N Main St
Providence, RI 02904-5757
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104847946 | Other | RI | THE PROVIDENCE CENTER NPI |
| PC42033 | Medicaid | RI | |
| 1164465175 | Other | RI | UBH |
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 |
|---|---|---|---|
| RN35524 | RI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1164465175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045762",
"telephone_number": "401-274-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "PAUL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN35524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE PROVIDENCE CENTER NPI",
"identifier": "1104847946",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC42033",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "1164465175",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
- Coastal Medical Physicians, Inc. (Brown Health Medical Group Primary Care)
- Coastal Medical, Inc.
- Coastal Medical, Inc. (Coastal Medical - Elmhurst)
- Coastal Psychological Assessment
- Jennifer L Coates, MD
- Regina Cobb, MASSAGE THERAPIST
- Alexander Crone Coburn, MD, PHD
- Nancy J Cocchiarella, CRNP
- Nicholas Joseph Coccoluto, MD
- Codac Healthcare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.