Tessa Butler Cobucci, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN207289 Issued in GA

Practice address

11660 Alpharetta Hwy Ste 290
Roswell, GA 30076-4963

Phone

(404) 446-3900

Fax

(404) 446-3906

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1922590959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 SPRINGFOUNT TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432161",
            "telephone_number": "678-938-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 290",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764963",
            "telephone_number": "404-446-3900",
            "fax_number": "404-446-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBUCCI",
        "first_name": "TESSA",
        "middle_name": "BUTLER",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207289",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN207289",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "08BCBFD",
            "identifier": "1023045663",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Anthony Clower, D.O.
• Co Roswell LLC
• Josiah Coatney, RBT
• Michlynn Cobb
• Cobblestone Pathways, LLC
• Stuart E. Coe, D.D.S.
• Rebekah Ann Coffie, RN
• Gregory Justin Coffman, MD
• Judith Cohen, M.D.
• Neal A Cohen, PSY.D.

• Family Nurse Practitioner in Roswell, GA
• Providers in Roswell, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.