Active NPI
Carrie Lee Cosgrove, RN
- Addiction (Substance Use Disorder) Registered Nurse
- West Milwaukee, WI
National Provider Identifier
1407420177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 129441
- Practice address
- 1610 Miller Park Way
West Milwaukee, WI 53214-3604 - Phone
- (414) 651-8033
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 129441 | WI | Primary |
Addresses
Primary practice location
1610 Miller Park Way
West Milwaukee, WI 53214-3604
Mailing address
5071 W Colonial CT
Greenfield, WI 53220-2012
Phone (141) 465-1803
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cosgrove1904@gmail.com | Health Information Exchange (HIE) |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129441 | WI | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1407420177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5071 W COLONIAL CT",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532202012",
"telephone_number": "141-465-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 MILLER PARK WAY",
"city": "WEST MILWAUKEE",
"state": "WI",
"postal_code": "532143604",
"telephone_number": "414-651-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSGROVE",
"first_name": "CARRIE",
"middle_name": "LEE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "129441",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cosgrove1904@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1610 Miller Park Way",
"city": "West Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532143604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.