Amy Cobb, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN9169241 Issued in FL

Practice address

8776 Christie Dr
Largo, FL 33771-6405

Phone

(727) 709-0376

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1790266237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 CHRISTIE DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337716405",
            "telephone_number": "727-709-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8776 CHRISTIE DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337716405",
            "telephone_number": "727-709-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "AMY",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9169241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL ARNP LICENSE",
            "identifier": "ARNP9169241",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RN LICENSE",
            "identifier": "RN9169241",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Mobile Chiropractic LLC
• Coastal Orthopaedic Designs
• Coastal Shoulder Surgery & Sports Medicine
• A'Kasha Cobb, PHARMD
• Alesia D Cobb, ARNP
• Carol Ann Cobb, M.D.
• Carol Ann Cody, PHD
• Darling Coiza Armas
• Pamela Colacicco, OTR
• Alexandre Siciliano Colafranceschi, MD

• Gerontology Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.