Marie Elena Cordisco, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

46044 Issued in KS

Practice address

25 Germantown Rd
Danbury, CT 06810-5036

Phone

(203) 764-5620

Fax

(203) 794-5642

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mrs. Marie Elena Cordisco Former name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117
  Medicare reassignment NPD
• Leawood Family Care, PA

  • Family Medicine Physician
  • Leawood, KS
  • NPI 1275633497
  NPD (past)
• Priority Care, LLC

  • Clinic/Center
  • Leawood, KS
  • NPI 1558452854
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1265617310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GERMANTOWN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105036",
            "telephone_number": "203-764-5620",
            "fax_number": "203-794-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GERMANTOWN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105036",
            "telephone_number": "203-764-5620",
            "fax_number": "203-794-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDISCO",
        "first_name": "MARIE ELENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46044",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "CT 004452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED REGISTERED NURSE",
            "identifier": "46044",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE REGISTERED NURSE",
            "identifier": "004452",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "CORDISCO",
            "middle_name": "ELENA",
            "prefix": "MRS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric B Cooper, LCSW
• Robert Cooper, M.D.
• Cope & Calm Counseling
• David Copen, M.D.
• Sandra Lynn Corbin, ARNP
• Amanda Coretto
• Charles Coretto Jr., LCSW
• Juliette Bryce Cormier, PHARMD, RPH
• Cornerstone Caregiving East LLC
• Jason Costa, M.D.

• Family Nurse Practitioner in Danbury, CT
• Providers in Danbury, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.