Active NPI
R Chenise Cole, FNP
- Family Nurse Practitioner
- Riverside, CA
National Provider Identifier
1144769753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006174
- Practice address
- 7140 Indiana Ave
Riverside, CA 92504-4544 - Phone
- (951) 741-0011
- NPI assigned
- Feb 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95006174 | CA | Primary |
Addresses
Primary practice location
7140 Indiana Ave
Riverside, CA 92504-4544
Mailing address
PO Box 4583
Rancho Cucamonga, CA 91729-4583
Phone (951) 741-0011
Other names 1
- Chenise Cole
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95006174 | CA | MD | Family Nurse Practitioner |
Interoperability endpoints
- rcole181672@direct.llu.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1144769753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4583",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917294583",
"telephone_number": "951-741-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 INDIANA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925044544",
"telephone_number": "951-741-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "R CHENISE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHENISE",
"last_name": "COLE",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.