Individual provider Active NPI

Chris Ann Cox, NURSE

  • Registered Nurse
  • Harrisburg, IL
National Provider Identifier
1205545449
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041322713 Issued in IL
Practice address
608 Rollie Moore Dr
Harrisburg, IL 62946-2351
Phone
(618) 252-6150
Fax
(615) 252-6595
NPI assigned
Nov 16, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041322713 IL Primary

Addresses

Primary practice location

608 Rollie Moore Dr
Harrisburg, IL 62946-2351

Mailing address

608 Rollie Moore Dr
Harrisburg, IL 62946-2351
Phone (618) 252-6150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chris.cox2@va.gov Direct Community Based Outpatient Clinic

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

LicenseStateTypeSpecialty
041322713ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1205545449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 ROLLIE MOORE DR",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462351",
            "telephone_number": "618-252-6150",
            "fax_number": "615-252-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 ROLLIE MOORE DR",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462351",
            "telephone_number": "618-252-6150",
            "fax_number": "615-252-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "CHRIS",
        "middle_name": "ANN",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041322713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chris.cox2@va.gov",
            "affiliation": "Y",
            "affiliationName": "Community Based Outpatient Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "608 Rollie Moore Dr",
            "city": "Harrisburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629462351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.