Ryan Cochrane

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

317986-4405 Issued in UT

Practice address

75TH Medical Group
7321 Balmer Street Building 570
Hill AFB, UT 84056

Phone

(801) 777-7909

NPI assigned

Jun 13, 2017

Last updated

Feb 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Center for Human Potential

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1366679441
  NPD

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1285164236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75TH MEDICAL GROUP",
            "address_2": "7321 BALMER STREET BUILDING 570",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "84056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75TH MEDICAL GROUP",
            "address_2": "7321 BALMER STREET BUILDING 570",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "84056",
            "telephone_number": "801-777-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRANE",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "317986-4405",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "UT",
            "license": "317986-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaughn Alan Cavender, IDMT
• Stephen Jackson Chambers, IDMT
• Andrew Jay Christensen, DO
• Deborah Ann Ciesla, IDMT
• Scott Andrew Clawson, DO
• Chad Jeffrey Coombs, D.D.S
• Jessica Cooper
• Nicholas Cosentino, RPH
• Corey M. Debarbrie, ATC, CSCS, CES
• Emma Degrange, RDH

• Psychiatric/Mental Health Nurse Practitioner in Hill AFB, UT
• Providers in Hill AFB, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.