Individual provider Active NPI

Carrie Cogley

  • Women's Health Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1851833388
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.020200 Issued in OH
Practice address
529 E Stroop Rd
Kettering, OH 45429-3245
Phone
(937) 345-4006
Fax
(937) 345-4093
NPI assigned
Nov 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.020200 OH Primary

Addresses

Primary practice location

529 E Stroop Rd
Kettering, OH 45429-3245

Mailing address

529 E Stroop Rd
Dayton, OH 45429-3245
Phone (937) 345-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170313001468 OH Practitioner - Nurse Practitioner 9739463720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020200OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Feb 1, 2017 Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 1, 2017 Accepting new patients

Locations

330 N Main St
Centerville, OH 45459
Phone (937) 434-8272

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 2

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1851833388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E STROOP RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454293245",
            "telephone_number": "937-345-4006",
            "fax_number": "937-345-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E STROOP RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293245",
            "telephone_number": "937-345-4006",
            "fax_number": "937-345-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGLEY",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.020200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.