Individual provider Active NPI

Kristen Harris Cochran, MS, ATC, LAT, CES

  • Athletic Trainer
  • Greenville, SC
National Provider Identifier
1134592637
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
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

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1721ALMDAthletic Trainer
AT002174GAMDAthletic 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.

Verify at the official NPI Registry.