Mary Putnam Cousineau, BC-PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

202 Issued in CA

Practice address

10561 Merritt St
Castroville, CA 95012-3310

Phone

(831) 633-1514

NPI assigned

Mar 23, 2011

Last updated

Mar 23, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.cousineau.p1@direct.csvs.nextgenshare.com

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

• Clinica de Salud del Valle de Salinas

  • Federally Qualified Health Center (FQHC)
  • Salinas, CA
  • NPI 1588601041
  NPD
• Clinica de Salud del Valle de Salinas

  • Federally Qualified Health Center (FQHC)
  • Salinas, CA
  • NPI 1508994930
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1932408481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LA MIRADA CT",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013857",
            "telephone_number": "831-422-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 MERRITT ST",
            "city": "CASTROVILLE",
            "state": "CA",
            "postal_code": "950123310",
            "telephone_number": "831-633-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINEAU",
        "first_name": "MARY",
        "middle_name": "PUTNAM",
        "credential": "BC-PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "202",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN280086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castroville Chiropractic Clinic
• Castroville Healthcare Inc (Castroville Pharmacy)
• Clinica de Salud del Valle de Salinas
• Community Connections of Ca
• Eliana Coronel
• Max Diaz
• Molly Edwards-Jones, CHIROPRACTOR
• Shafagh Eslami
• Marvie Furtado
• Najia Gardezy, D.D.S.

• Pediatric Nurse Practitioner in Castroville, CA
• Providers in Castroville, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.