Amanda Tiffany Cozar, SUDPT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

CO60563128 Issued in WA

Practice address

1116 Summit Ave
Seattle, WA 98101-2831

Phone

(206) 323-0930

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1720664527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 ARCARRO CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037157",
            "telephone_number": "360-970-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 SUMMIT AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012831",
            "telephone_number": "206-323-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZAR",
        "first_name": "AMANDA",
        "middle_name": "TIFFANY",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "CO60563128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Elizabeth Coye, PA-C
• Heather M Coyle, L.AC.
• Laura Kathleen Coyle, LMP
• Colleen Coyne, ARNP
• Beth Coyote, LM, CPM
• Cameron Cozart, LMP
• CQHB LLC
• Emma Kathleen Crabo
• David Andrew Crabtree, LMP
• Howard Daniel Crabtree, R.PH.

• Student in an Organized Health Care Education/Training Program in Seattle, WA
• Providers in Seattle, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.