Individual provider Active NPI

Sheri Elizabeth Coburn, EDD, MS, RN, PHN

  • School Registered Nurse
  • Stockton, CA
National Provider Identifier
1265981351
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
365588 Issued in CA
Practice address
2707 Transworld Dr
Stockton, CA 95206-3948
Phone
(209) 468-4960
Fax
(209) 468-4955
NPI assigned
Sep 29, 2016
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 365588 CA
School Registered Nurse 163WS0200X 365588 CA Primary

Addresses

Primary practice location

2707 Transworld Dr
Stockton, CA 95206-3948

Mailing address

2707 Transworld Dr
Stockton, CA 95206-3948
Phone (209) 468-4960

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
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
365588CAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin County Office of Education Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1265981351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 TRANSWORLD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952063948",
            "telephone_number": "209-468-4960",
            "fax_number": "209-468-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 TRANSWORLD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952063948",
            "telephone_number": "209-468-4960",
            "fax_number": "209-468-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "SHERI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "EDD, MS, RN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "365588",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "365588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.