Active NPI
Emily Jeannine Cossaboon, AUD
- Audiologist
- Rockville, MD
National Provider Identifier
1265685671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00991
- Practice address
- 9420 Key West Ave Ste 310
Rockville, MD 20850 - Phone
- (301) 315-5888
- Fax
- (301) 315-5866
- NPI assigned
- Oct 29, 2008
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 02-0000169 | DE | |
| Audiologist | 231H00000X | 00991 | MD | Primary |
Addresses
Primary practice location
9420 Key West Ave Ste 310
Rockville, MD 20850
Mailing address
8400 Rosebay LN Apt 404
Manassas, VA 20109-3818
Phone (410) 530-1060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Technology Dr
Suite 102
Butler, PA 16001-1801
Phone (724) 782-0028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02-0000169 | DE | MD | Audiologist |
| 00991 | MD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose & Throat Associates of Butler, LTD | Current | Accepting new patients | |
| Ear, Nose & Throat Specialists of Shady Grove, P.C. | Past | Accepting new patients | |
| Elk County Chiropractic, Inc. | Past | Accepting new patients |
Locations
104 Technology Dr
Ste 102
Butler, PA 16001
Phone (724) 482-0028
Organizations & group practices 3
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.
-
- Specialist
- Butler, PA
- NPI 1487685210
-
- Specialist
- Rockville, MD
- NPI 1518914647
-
- Orthopedic Chiropractor
- St Marys, PA
- NPI 1235193285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1265685671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 ROSEBAY LN APT 404",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201093818",
"telephone_number": "410-530-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 KEY WEST AVE STE 310",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-315-5888",
"fax_number": "301-315-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSSABOON",
"first_name": "EMILY",
"middle_name": "JEANNINE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "DE",
"license": "02-0000169",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "00991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.