Individual provider Active NPI

Jenny Louise Cokerham, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1124046958
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
513601 Issued in TX
Practice address
7616 Culebra Rd
Suite # 130
San Antonio, TX 78251-1476
Phone
(210) 509-2603
Fax
(210) 509-3726
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 513601 TX Primary

Addresses

Primary practice location

7616 Culebra Rd
Suite # 130
San Antonio, TX 78251-1476

Mailing address

8714 Redbud Woods
San Antonio, TX 78250-2632
Phone (210) 681-6777

Other names 1

  • Jenny Louise Cannon Former name

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

LicenseStateTypeSpecialty
513601TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1124046958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 REDBUD WOODS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502632",
            "telephone_number": "210-681-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 CULEBRA RD",
            "address_2": "SUITE # 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511476",
            "telephone_number": "210-509-2603",
            "fax_number": "210-509-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKERHAM",
        "first_name": "JENNY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "513601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "CANNON",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.