Individual provider Active NPI

Tara Cocco, FNP-C

  • Pediatric Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1427474774
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN9183330 Issued in FL
Practice address
2201 Cantu CT Ste 117
Sarasota, FL 34232-6254
Phone
(941) 552-8341
Fax
(941) 487-8025
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN9183330 FL Primary

Addresses

Primary practice location

2201 Cantu CT Ste 117
Sarasota, FL 34232-6254

Mailing address

2201 Cantu CT
117
Sarasota, FL 34232-6260
Phone (941) 552-8341

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
RN9183330FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weiss Pediatric Care, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1427474774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CANTU CT",
            "address_2": "117",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326260",
            "telephone_number": "941-552-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CANTU CT STE 117",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326254",
            "telephone_number": "941-552-8341",
            "fax_number": "941-487-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCO",
        "first_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "RN9183330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.