Individual provider Active NPI

Rhonda Yvonne Cochran

  • Clinical Social Worker
  • Muskogee, OK
National Provider Identifier
1386815793
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1676 Issued in OK
Practice address
1001 S 41St St E
Muskogee, OK 74403-6253
Phone
(918) 781-6513
Fax
(918) 681-4127
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 292 OK
Clinical Social Worker 1041C0700X 1676 OK Primary

Addresses

Primary practice location

1001 S 41St St E
Muskogee, OK 74403-6253

Mailing address

1001 S 41St St E
Muskogee, OK 74403-6253
Phone (918) 781-6513

Other names 1

  • Rhonda Yvonne Cochran Professional name

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

State licenses

LicenseStateTypeSpecialty
292OKMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1386815793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 41ST ST E",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744036253",
            "telephone_number": "918-781-6513",
            "fax_number": "918-681-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 41ST ST E",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744036253",
            "telephone_number": "918-781-6513",
            "fax_number": "918-681-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "RHONDA",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "292",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "COCHRAN",
            "middle_name": "YVONNE",
            "credential": "LCSW, LADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.