Individual provider Active NPI

Tamera Lynn Kosa, RN

  • Community Health Registered Nurse
  • Westland, MI
National Provider Identifier
1841955929
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
4704292963 Issued in MI
Practice address
35180 Nankin Blvd Ste 204
Westland, MI 48185-2092
Phone
(313) 961-4890
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 4704292963 MI Primary

Addresses

Primary practice location

35180 Nankin Blvd Ste 204
Westland, MI 48185-2092

Mailing address

32647 Leona St
Garden City, MI 48135-3229
Phone (734) 536-0520

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704292963MIMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Partners 4 Health Inc. CurrentSince Nov 9, 2021 Accepting new patients

Locations

35180 Nankin Blvd
Ste 204
Westland, MI 48185
Phone (734) 417-9795

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20624/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1841955929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32647 LEONA ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353229",
            "telephone_number": "734-536-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35180 NANKIN BLVD STE 204",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852092",
            "telephone_number": "313-961-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSA",
        "first_name": "TAMERA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704292963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.