Individual provider Active NPI

Jeanette Leigh Elwell-Cossin, RN

  • Registered Nurse
  • Grove City, OH
National Provider Identifier
1255567533
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
291531 Issued in OH
Practice address
2435 Clover Blossom CT
Grove City, OH 43123-9703
Phone
(614) 875-2636
Fax
(614) 875-2636
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 291531 OH Primary
Community Health Registered Nurse 163WC1500X 291531 OH

Addresses

Primary practice location

2435 Clover Blossom CT
Grove City, OH 43123-9703

Mailing address

2435 Clover Blossom CT
Grove City, OH 43123-9703
Phone (614) 875-2636

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

LicenseStateTypeSpecialty
291531OHMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1255567533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 CLOVER BLOSSOM CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239703",
            "telephone_number": "614-875-2636",
            "fax_number": "614-875-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 CLOVER BLOSSOM CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239703",
            "telephone_number": "614-875-2636",
            "fax_number": "614-875-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWELL-COSSIN",
        "first_name": "JEANETTE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "291531",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "291531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.