Azul Cossart

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

D01594471 Issued in AZ

Legal business name

AZUL COSSART

Practice address

1905 W Las Palmaritas Dr
268
Phoenix, AZ 85021-5000

Phone

(602) 525-7691

NPI assigned

Aug 16, 2015

Organization subpart

No

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

Authorized official

Name

Miss Azul Ezzette Cossart

Title

Non Medical Caregiver

Phone

(602) 525-7691

Specialties & licenses 1

Addresses

Other names 1

• Azul Cossart Other name

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1366818189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W LAS PALMARITAS DRIVE",
            "address_2": "268",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "602-525-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W LAS PALMARITAS DR",
            "address_2": "268",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215000",
            "telephone_number": "602-525-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUL COSSART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-16",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "COSSART",
        "authorized_official_first_name": "AZUL",
        "authorized_official_middle_name": "EZZETTE",
        "authorized_official_title_or_position": "NON MEDICAL CAREGIVER",
        "authorized_official_telephone_number": "602-525-7691",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AZ",
            "license": "D01594471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azul Cossart",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Private Vehicle in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Private Vehicle in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.