Cosmiccare

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

COSMICCARE

Practice address

1033 Shannon St
Elizabeth City, NC 27909-6063

Phone

(816) 489-2299

NPI assigned

Nov 15, 2016

Last updated

Nov 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deontrae Javon SpruillNPI 1538601323

Title

Manager/ Creator

Phone

(816) 489-2299

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deontrae Spruill

  • Private Vehicle
  • Elizabeth City, NC
  • NPI 1538601323

  Non-Emergency Medical Transport (Van)

  NPD (past) Authorized official

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1366984833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 SHANNON ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096063",
            "telephone_number": "816-489-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SHANNON ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096063",
            "telephone_number": "816-489-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMICCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "SPRUILL",
        "authorized_official_first_name": "DEONTRAE",
        "authorized_official_middle_name": "JAVON",
        "authorized_official_title_or_position": "MANAGER/ CREATOR",
        "authorized_official_telephone_number": "816-489-2299"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal L Copeland, DPT
• Katherine Serzan Copeland, PHARMD
• Mark Pritchard Copeland, PHARM.D
• Kadie Cornelius
• Cornerstone Caregiving East LLC
• Godfrey Costa
• County of Pasquotank Office of the Treasurer (Pasquotank County EMS)
• Tanja Courter Brandow
• Sabrina Cowell, PHLEBOTOMY TECH.
• CPL Counseling & Consulting Services

• Private Vehicle in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Private Vehicle in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.