Active NPI
M. Teresa Cochran, MS, RD, LD
- Registered Dietitian
- Corvallis, OR
National Provider Identifier
1336192897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 625
- Practice address
- 3600 NW Samaritan Dr
2H229
Corvallis, OR 97330-3737 - Phone
- (541) 768-6973
- Fax
- (541) 768-6581
- NPI assigned
- May 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00470396 | OR | |
| Registered Dietitian | 133V00000X | 625 | OR | Primary |
Addresses
Primary practice location
3600 NW Samaritan Dr
2H229
Corvallis, OR 97330-3737
Mailing address
3600 NW Samaritan Dr
2H229
Corvallis, OR 97330-3737
Phone (541) 768-6973
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00470396 | OR | MD | Registered Dietitian |
| 625 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336192897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 NW SAMARITAN DR",
"address_2": "2H229",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303737",
"telephone_number": "541-768-6973",
"fax_number": "541-768-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NW SAMARITAN DR",
"address_2": "2H229",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303737",
"telephone_number": "541-768-6973",
"fax_number": "541-768-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "M. TERESA",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "00470396",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
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.