Active NPI
Kathleen S. Coco, CNM
- Advanced Practice Midwife
- San Marcos, CA
National Provider Identifier
1184646036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM2046
- Practice address
- 150 Valpreda Rd
San Marcos, CA 92069-2973 - Phone
- (760) 736-7051
- NPI assigned
- Jul 23, 2006
- Last updated
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM2046 | CA | Primary |
Addresses
Primary practice location
150 Valpreda Rd
San Marcos, CA 92069-2973
Mailing address
254 N Kessing St
Porterville, CA 93257-3424
Phone (559) 781-8500
Other practice location 1
254 N Kessing St
Porterville, CA 93257-3424
Phone (559) 781-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639289564 | Medicaid | CA | |
| 1012405230001 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM2046 | CA | MD | Advanced Practice Midwife |
Interoperability endpoints
- kcoco331884@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1184646036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 N KESSING ST",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573424",
"telephone_number": "559-781-8500",
"fax_number": "559-781-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 VALPREDA RD",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692973",
"telephone_number": "760-736-7051"
}
],
"practiceLocations": [
{
"address_1": "254 N Kessing St",
"address_purpose": "LOCATION",
"city": "Porterville",
"state": "CA",
"postal_code": "932573424",
"country_code": "US",
"telephone_number": "559-781-8500",
"fax_number": "559-781-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COCO",
"first_name": "KATHLEEN",
"middle_name": "S.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "CNM2046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639289564",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012405230001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.