Individual provider Active NPI

Elizabeth Cosgrove-Bailey, CRNP

  • Nurse Practitioner
  • Blue Bell, PA
National Provider Identifier
1437396314
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
VP000654D Issued in PA
Practice address
470 Sentry Pkwy E Ste 200
Blue Bell, PA 19422-2332
Phone
(610) 825-5800
Fax
(610) 397-0980
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP000654D PA Primary
Nurse Practitioner 363L00000X NPPA625 PA

Addresses

Primary practice location

470 Sentry Pkwy E Ste 200
Blue Bell, PA 19422-2332

Mailing address

139 S English Station Rd
Ste 200
Louisville, KY 40245-3997
Phone (502) 429-8585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.bailey.p1@direct.allergyasthmaspec.nextgenshare.com

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPPA625PAMDNurse Practitioner
VP000654DPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Specialists PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1437396314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S ENGLISH STATION RD",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453997",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SENTRY PKWY E STE 200",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222332",
            "telephone_number": "610-825-5800",
            "fax_number": "610-397-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE-BAILEY",
        "first_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP000654D",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "NPPA625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.bailey.p1@direct.allergyasthmaspec.nextgenshare.com",
            "affiliation": "N",
            "address_1": "470 Sentry Pkwy E Ste 200",
            "city": "Blue Bell",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194222332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.