Active NPI
Mary Ann Cosentino, NP
- Pediatric Nurse Practitioner
- Youngstown, OH
National Provider Identifier
1649782533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 161473
- Practice address
- 1 University PLZ
Youngstown, OH 44555-0001 - Phone
- (330) 941-3489
- NPI assigned
- Oct 31, 2017
- Last updated
- Oct 31, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 161473 | OH | Primary |
| College Health Registered Nurse | 163WC1400X | 161473 | OH |
Addresses
Primary practice location
1 University PLZ
Youngstown, OH 44555-0001
Mailing address
3087 Olde Winter TRL
Youngstown, OH 44514-0001
Phone (330) 502-5600
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161473 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1649782533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3087 OLDE WINTER TRL",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445140001",
"telephone_number": "330-502-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY PLZ",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445550001",
"telephone_number": "330-941-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSENTINO",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "161473",
"primary": true
},
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "OH",
"license": "161473",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.