Individual provider Active NPI

Jill M Cochrane, CCC-SLP

  • Speech-Language Pathologist
  • San Anselmo, CA
National Provider Identifier
1144750720
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
21725 Issued in CA
Practice address
394 Redwood Rd
San Anselmo, CA 94960
Phone
(917) 647-9374
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 21725 CA Primary

Addresses

Primary practice location

394 Redwood Rd
San Anselmo, CA 94960

Mailing address

394 Redwood Rd
San Anselmo, CA 94960-2757
Phone (917) 647-9374

Other practice location 1

394 Redwood Rd
San Anselmo, CA 94960-2757
Phone (917) 647-9374

Other names 1

  • Jill M Cochrane Professional 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

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144750720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 REDWOOD RD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602757",
            "telephone_number": "917-647-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 REDWOOD RD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "94960",
            "telephone_number": "917-647-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "394 Redwood Rd",
            "address_purpose": "LOCATION",
            "city": "San Anselmo",
            "state": "CA",
            "postal_code": "949602757",
            "country_code": "US",
            "telephone_number": "917-647-9374",
            "fax_number": "917-647-9374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRANE",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "COCHRANE",
            "middle_name": "M",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.