Jevonnie D Cotte, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

747109 Issued in CA

Practice address

25578 Pacato Rd
Moreno Valley, CA 92551-1941

Phone

(951) 662-1213

NPI assigned

Nov 18, 2010

Reactivated

Aug 14, 2020

Last updated

Aug 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1265734537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25578 PACATO RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25578 PACATO RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511941",
            "telephone_number": "951-662-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTE",
        "first_name": "JEVONNIE",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "deactivation_date": "2018-10-17",
        "reactivation_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "747109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.