Active NPI
Amy Marie Cosma, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bristol, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0028291
- Practice address
- 42 Basswood Dr
Bristol, RI 02809-4912 - Phone
- (401) 655-2031
- Fax
- (937) 606-3077
- NPI assigned
- Mar 10, 2020
- Last updated
- Oct 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0028291 | OH | Primary |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 0024186160 | VA |
Addresses
Primary practice location
42 Basswood Dr
Bristol, RI 02809-4912
Mailing address
11911 Bower Rd
Minerva, OH 44657-9603
Phone (330) 205-1168
Other practice location 1
4735 Belpar St NW
Canton, OH 44718-3648
Phone (330) 493-9822
Other practice location 2
4150 Belden Village St NW Ste 100
Canton, OH 44718-3652
Phone (330) 754-6250
Other practice location 3
1000 Commercial Ln
Suffolk, VA 23434-8148
Phone (757) 942-1069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4735 Beldar St NW
Canton, OH 44718-3648
Phone (330) 493-9822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0028291 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024186160 | VA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amory Psychiatry and Wellness | Psychiatric/Mental Health | Current | Accepting new patients |
| Western Tidewater Community Mental | Current | Accepting new patients | |
| A Knew You and Wellness LLC | Current | Accepting new patients | |
| New Horizons Psychiatric Counseling and Pain Management Services LLC | Current | Accepting new patients | |
| A Child and Family Psychiatry LLC | Past | Accepting new patients | |
| Accurate Nursing Services, Inc. | Past | Accepting new patients |
Locations
4735 Belpar St NW
Canton, OH 44718
Phone (330) 417-9552
200 E 2nd Ave
Franklin, VA 23851
Phone (757) 297-6746
1801 S Church St
Ste 6
Smithfield, VA 23430
1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484
135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-2222
5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117
7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471
Interoperability endpoints
- amy.cosma.1@24900.direct.athenahealth.com
Organizations & group practices 6
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 Ikemefuna Nkanginieme MD
- Psychiatry Physician
- Canton, OH
- NPI 1861597148
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Minerva, OH
- NPI 1245940022
-
- Geriatric Psychiatry Physician
- Bristol, RI
- NPI 1790391365
-
dba Western Tidewater Community Services Board
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Suffolk, VA
- NPI 1689615296
-
- Child & Adolescent Psychiatry Physician
- Gahanna, OH
- NPI 1760930853
-
- Developmentally Disabled Services Day Training Agency
- Canton, OH
- NPI 1891576625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1245865252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11911 BOWER RD",
"city": "MINERVA",
"state": "OH",
"postal_code": "446579603",
"telephone_number": "330-205-1168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 BASSWOOD DR",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028094912",
"telephone_number": "401-655-2031",
"fax_number": "937-606-3077"
}
],
"practiceLocations": [
{
"address_1": "4735 Belpar St NW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447183648",
"country_code": "US",
"telephone_number": "330-493-9822",
"fax_number": "330-362-2731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4150 Belden Village St NW Ste 100",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447183652",
"country_code": "US",
"telephone_number": "330-754-6250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Commercial Ln",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234348148",
"country_code": "US",
"telephone_number": "757-942-1069",
"fax_number": "757-925-2218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSMA",
"first_name": "AMY",
"middle_name": "MARIE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.0028291",
"primary": true
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "VA",
"license": "0024186160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.