Active NPI
Kristen Harris Cochran, MS, ATC, LAT, CES
- Athletic Trainer
- Greenville, SC
National Provider Identifier
1134592637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000009239
- Practice address
- 200 Patewood Dr Ste B170
Greenville, SC 29615-6335 - Phone
- (864) 454-8340
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1721 | AL | |
| Athletic Trainer | 2255A2300X | AT002174 | GA | |
| Athletic Trainer | 2255A2300X | 2000009239 | Primary |
Addresses
Primary practice location
200 Patewood Dr Ste B170
Greenville, SC 29615-6335
Mailing address
200 Patewood Dr Ste B170
Greenville, SC 29615-6335
Phone (864) 454-8340
Other practice location 1
507 W 10th St
West Point, GA 31833-1200
Phone (706) 385-1419
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1721 | AL | MD | Athletic Trainer |
| AT002174 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1134592637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR STE B170",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156335",
"telephone_number": "864-454-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR STE B170",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156335",
"telephone_number": "864-454-8340"
}
],
"practiceLocations": [
{
"address_1": "507 W 10th St",
"address_purpose": "LOCATION",
"city": "West Point",
"state": "GA",
"postal_code": "318331200",
"country_code": "US",
"telephone_number": "706-385-1419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COCHRAN",
"first_name": "KRISTEN",
"middle_name": "HARRIS",
"credential": "MS, ATC, LAT, CES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1721",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT002174",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": "2000009239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.