Debbie Cockerham, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

LV11726 Issued in CA

Practice address

22115 Roscoe Blvd
Canoga Park, CA 91304-3839

Phone

(818) 884-8100

Fax

(818) 884-7808

NPI assigned

Nov 30, 2009

Last updated

Nov 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1417285594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22115 ROSCOE BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043839",
            "telephone_number": "818-884-8100",
            "fax_number": "818-884-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22115 ROSCOE BLVD",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913043839",
            "telephone_number": "818-884-8100",
            "fax_number": "818-884-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKERHAM",
        "first_name": "DEBBIE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "LV11726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7283",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.