Active NPI
William Cobb
- Licensed Practical Nurse
- Dansville, NY
National Provider Identifier
1184200552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 315600
- Practice address
- 45 Maple St
Dansville, NY 14437-9182 - Phone
- (585) 335-5052
- NPI assigned
- Mar 24, 2021
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 315600 | NY | Primary |
Addresses
Primary practice location
45 Maple St
Dansville, NY 14437-9182
Mailing address
215 Liberty St Apt 1
Bath, NY 14810-1124
Phone (607) 794-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161039939 | Medicaid | NY | |
| 161039939 | Other | NY | ALL OTHER INSURANCES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wcobb@casa-trinity.org |
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 |
|---|---|---|---|
| 315600 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa-Trinity, Inc. | Past | Accepting new patients | |
| Casa-Trinity, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Geneseo, NY
- NPI 1023054376
-
- Case Management Agency
- Geneseo, NY
- NPI 1184281388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1184200552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 LIBERTY ST APT 1",
"city": "BATH",
"state": "NY",
"postal_code": "148101124",
"telephone_number": "607-794-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 MAPLE ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379182",
"telephone_number": "585-335-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "315600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161039939",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURANCES",
"identifier": "161039939",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wcobb@casa-trinity.org",
"affiliation": "N",
"endpointDescription": "Company email",
"address_1": "45 Maple St",
"city": "Dansville",
"state": "NY",
"country_code": "US",
"postal_code": "144379182",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.