KELLY COSGROVE (NPI# 1588114631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588114631 |
| Entity Type | Individual |
| Full Name | KELLY COSGROVE |
| Credential | RN |
| Practice Address |
375 W Onondaga St Suite 10 Syracuse NY 13202-1888 |
| Mailing Address |
518 James St Suite 240 Syracuse NY 13203-2238 |
| Practice Telephone | 3154782030 |
| Practice Fax Number | 3154782250 |
| Mailing Telephone | 3154762030 |
| Mailing Fax Number | 3154782255 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
557343 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376894345 | Kelly Marie Cosgrove | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2012-10-01 |
| Street Address |
375 W ONONDAGA ST SUITE 10 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-1888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898321 | Central New York Services.inc. | Clinic/Center | 375 W Onondaga St, Suite 23, Syracuse, NY 13202-3280 | 2006-07-06 |
| 1871136382 | Heather Harris | Counselor | 375 W Onondaga St, Syracuse, NY 13202-1888 | 2019-10-28 |
| 1003325119 | David Lee Ford Jr. | Counselor | 375 W Onondaga St, Syracuse, NY 13202-1888 | 2017-09-21 |
| 1063930865 | Cathy Ann Goldthwait | Counselor | 375 W Onondaga St, Syracuse, NY 13202-1888 | 2017-09-01 |
| 1831640531 | Briana Blackshear | Counselor | 375 W Onondaga St, Syracuse, NY 13202-1888 | 2016-10-18 |
| 1538619382 | Brandie Musick | Counselor | 375 W Onondaga St, Suite 10, Syracuse, NY 13202-1888 | 2016-10-05 |
| 1508316399 | Kayla Eckert | Counselor | 375 W Onondaga St, Suite 10, Syracuse, NY 13202-1888 | 2016-10-05 |
| 1477983567 | Charles Santoro | Social Worker | 375 W Onondaga St, Syracuse, NY 13202-1888 | 2013-11-26 |
| 1407285893 | Jesse C Palermo | Social Worker | 375 W Onondaga St, Suite 10, Syracuse, NY 13202-1888 | 2013-11-06 |
| 1528495512 | Stephanie Lee Muraca | Registered Nurse | 375 W Onondaga St, Suite 10, Syracuse, NY 13202-1888 | 2013-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329534 | Judie Lyn Gordon-louison | Registered Nurse | 2429 East Fayette Street, Syracuse, Syracuse, NY 13224 | 2019-04-25 |
| 1942754726 | Cassandra Michael | Registered Nurse | 320 Rugby Rd, Syracuse, NY 13203-1449 | 2016-08-09 |
| 1548679962 | Jenna E Rupert | Registered Nurse | 317 S Salina St, Syracuse, NY 13202-1601 | 2014-08-11 |
| 1154420230 | Elaine Mary Scherba-germain | Registered Nurse | 4898 Royal Crab Ave, Syracuse, NY 13215-9310 | 2006-09-22 |
| 1447851811 | Christopher Pernisi | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-11-03 |
| 1356942718 | Lesley Musgrove | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-11-03 |
| 1154943314 | Michelle Pisano | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2338 | 2020-05-11 |
| 1750916474 | Monxque Marceis | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2020-03-04 |
| 1144869934 | Jennifer Volcko | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-27 |
| 1275171324 | Jaylin Vernon | Registered Nurse | 620 Madison St, Syracuse, NY 13210-2319 | 2019-12-18 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.