Active NPI
Theresa Cobbs
- Attendant Care Provider
- Jacksonville, FL
National Provider Identifier
1851005680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 23070
- Practice address
- 11048 Snowbrook CT
Jacksonville, FL 32221-4938 - Phone
- (904) 250-1140
- Fax
- (877) 310-9005
- NPI assigned
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 23070 | FL | |
| Attendant Care Provider | 3747A0650X | 23070 | FL | Primary |
| Behavior Technician | 106S00000X | 23070 | FL |
Addresses
Primary practice location
11048 Snowbrook CT
Jacksonville, FL 32221-4938
Mailing address
11048 Snowbrook CT
Jacksonville, FL 32221-4938
Phone (904) 250-1140
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | atimetoshare@hushmail.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23070 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1851005680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11048 SNOWBROOK CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322214938",
"telephone_number": "904-250-1140",
"fax_number": "877-310-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11048 SNOWBROOK CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322214938",
"telephone_number": "904-250-1140",
"fax_number": "877-310-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBBS",
"first_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "FL",
"license": "23070",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "FL",
"license": "23070",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "23070",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "atimetoshare@hushmail.com",
"affiliation": "N",
"endpointDescription": "Business email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NPI Registry",
"address_1": "11048 Snowbrook Ct",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322214938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.