Rae Cockreham

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

70131977 Issued in WA

Practice address

1717 S J St
Tacoma, WA 98405-4933

Phone

(253) 426-4101

NPI assigned

Jun 21, 2024

Last updated

Aug 9, 2026By the provider in NPPES

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1356185573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 VICTORY PL SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-426-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 45th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072047",
            "country_code": "US",
            "telephone_number": "561-842-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKREHAM",
        "first_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-06-21",
        "last_updated": "2026-08-09",
        "certification_date": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "70131977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Cochran
• Savannah Noelle Cochran, CG61385483
• Sharron Elaine Cochran, L.AC.
• Christopher J Cochrane, D.O.
• Dana Anthony Cocke, OD
• Bryana Madison Codding
• David Glenn Coddington, PH.D.
• Allorra D Codega
• Carmen M Cody
• Glenn A Cody

• Certified Registered Nurse Anesthetist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.