Yvette Cobb, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704250380 Issued in MI

Practice address

502 Lewis CT
Birmingham, MI 48009-6817

Phone

(248) 593-5584

Fax

(248) 593-9929

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1649342197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 LEWIS CT",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096817",
            "telephone_number": "248-593-5584",
            "fax_number": "248-593-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 LEWIS CT",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096817",
            "telephone_number": "248-593-5584",
            "fax_number": "248-593-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "YVETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704250380",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704250380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin Joseph Clouthier, LPC
• Cloverleaf Transportation, Inc.
• Thomas M Coburn, DDS
• Dereck Coe, LMT
• Jacqueline Meier Coffman, DO
• Madison Collins
• Gigi Anna Colombini, LMSW

• Primary Care Nurse Practitioner in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.