Individual provider Active NPI

Nadra Louise Cochran, RN FIRST ASSIST

  • Registered Nurse First Assistant
  • Fayetteville, GA
National Provider Identifier
1275744765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN155855 Issued in GA
Practice address
375 Falcon Ridge Dr
Fayetteville, GA 30214-8209
Phone
(770) 461-1731
Fax
(770) 461-1731
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN155855 GA Primary

Addresses

Primary practice location

375 Falcon Ridge Dr
Fayetteville, GA 30214-8209

Mailing address

375 Falcon Ridge Dr
Fayetteville, GA 30214-8209
Phone (770) 461-1731

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN155855GAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275744765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 FALCON RIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302148209",
            "telephone_number": "770-461-1731",
            "fax_number": "770-461-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 FALCON RIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302148209",
            "telephone_number": "770-461-1731",
            "fax_number": "770-461-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "NADRA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RN FIRST ASSIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN155855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.