Active NPI
Nanette Cossio
- Massage Therapist
- Saint Augustine, FL
National Provider Identifier
1376337204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA97000
- Practice address
- 475 W Town PL Ste 105
Saint Augustine, FL 32092-3649 - Phone
- (904) 680-7328
- NPI assigned
- Apr 7, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA97000 | FL | Primary |
Addresses
Primary practice location
475 W Town PL Ste 105
Saint Augustine, FL 32092-3649
Mailing address
165 Austin Park Ave
Ponte Vedra, FL 32081-4360
Phone (305) 815-0398
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA97000 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1376337204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 AUSTIN PARK AVE",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320814360",
"telephone_number": "305-815-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W TOWN PL STE 105",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320923649",
"telephone_number": "904-680-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSSIO",
"first_name": "NANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA97000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.