Tina Cosby, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP024153 Issued in PA

Practice address

602 E Baltimore Pike
Media, PA 19063-1735

Phone

(484) 444-2834

Fax

(484) 444-2592

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kurzrok Family Medicine LLC

  • Family Medicine Physician
  • Broomall, PA
  • NPI 1609521780
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  PA

  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newark, DE
  • NPI 1033376231

  PA

  Medicare reassignment NPD
• NJ Pacs 2 PA

  • Hospitalist Physician
  • Mendham, NJ
  • NPI 1740766195

  PA

  Medicare reassignment NPD
• Senacare, LLC

  • Internal Medicine Physician
  • Mullica Hill, NJ
  • NPI 1104447127
  Medicare reassignment NPD
• Inpatient Consultants of Pennsylvania PC

  • Hospitalist Physician
  • Newtown Square, PA
  • NPI 1669880175
  NPD
• Senacare, LLC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1023989837
  NPD

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1831845866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ANGORA DR",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503402",
            "telephone_number": "610-529-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631735",
            "telephone_number": "484-444-2834",
            "fax_number": "484-444-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSBY",
        "first_name": "TINA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "26NJ01219300",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "SP024153",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP024153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Corcoran
• Elise Marie Cordova, P.T.A.
• Core Counseling, PLLC
• Mary Jo Corley, RN,BSN,M.AC,R.AC,DIP
• Brittany Rose Correnti, OTR/L
• Christina Cotellese
• Kathleen Coulter, CRNP
• County Seat Behavioral Health, LLC
• Onna'E Cox
• Katie Craig, MS, LPC

• Primary Care Nurse Practitioner in Media, PA
• Providers in Media, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.