Individual provider Active NPI

Sheena Cocroft

  • Peer Specialist
  • Escondido, CA
National Provider Identifier
1366166183
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-WLQJKZ Issued in CA
Practice address
1780 Pinehurst Ave
Escondido, CA 92026-1873
Phone
(760) 735-8222
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-WLQJKZ CA Primary

Addresses

Primary practice location

1780 Pinehurst Ave
Escondido, CA 92026-1873

Mailing address

1637 E Valley Pkwy # 319
Escondido, CA 92027-2408
Phone (760) 330-6174

Other identifiers 1

IdentifierTypeStateIssuer
1023146826OtherCAOTHER-NON MEDICAL

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

LicenseStateTypeSpecialty
MPSS-WLQJKZCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1366166183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 E VALLEY PKWY # 319",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272408",
            "telephone_number": "760-330-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 PINEHURST AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920261873",
            "telephone_number": "760-735-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCROFT",
        "first_name": "SHEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-WLQJKZ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER-NON MEDICAL",
            "identifier": "1023146826",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.