Active NPI
Melissa Cochran, ATC
- Speech/Language/Hearing Specialist/Technologist
- Moscow, ID
National Provider Identifier
1285141275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech/Language/Hearing Specialist/Technologist
- License
- AT-602
- Practice address
- 1410 E Cleveland Street
Moscow, ID 83843-8384 - Phone
- (509) 332-9147
- Fax
- (509) 332-9147
- NPI assigned
- Dec 29, 2017
- Last updated
- Dec 29, 2017
- 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 |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | AT-602 | ID | Primary |
Addresses
Primary practice location
1410 E Cleveland Street
Moscow, ID 83843-8384
Mailing address
346 Rodeo Dr
Moscow, ID 83843-9778
Phone (509) 332-9147
Other names 1
- Missy Cochran
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT-602 | ID | MD | Speech/Language/Hearing Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1285141275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 RODEO DR",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838439778",
"telephone_number": "509-332-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 E CLEVELAND STREET",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838438384",
"telephone_number": "509-332-9147",
"fax_number": "509-332-9147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "MELISSA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "235500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "ID",
"license": "AT-602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISSY",
"last_name": "COCHRAN",
"credential": "ATC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.