Individual provider Active NPI

Cosme Taasan, R.N.

  • Registered Nurse
  • Apache Junction, AZ
National Provider Identifier
1619118478
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN046932 Issued in AZ
Practice address
1337 N Roadrunner Rd
Apache Junction, AZ 85219-8942
Phone
(480) 694-8302
NPI assigned
Mar 9, 2009
Last updated
Mar 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN046932 AZ Primary

Addresses

Primary practice location

1337 N Roadrunner Rd
Apache Junction, AZ 85219-8942

Mailing address

1337 N Roadrunner Rd
Apache Junction, AZ 85219-8942
Phone (480) 694-8302

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

LicenseStateTypeSpecialty
RN046932AZMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1619118478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 N ROADRUNNER RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852198942",
            "telephone_number": "480-694-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 N ROADRUNNER RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "852198942",
            "telephone_number": "480-694-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAASAN",
        "first_name": "COSME",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN046932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.