Cohleen Marie Nottingham, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN3024932 Issued in FL

Practice address

3390 Tamiami TRL
Suite 104
Port Charlotte, FL 33952-8157

Phone

(941) 764-0444

Fax

(941) 764-0774

NPI assigned

Apr 8, 2010

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jose M Gonzalez-Canal P aGroup PAC ID 4981781440, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jose M Gonzalez-Canal P a

  • Psychiatry Physician
  • Port Charlotte, FL
  • NPI 1568514073

  FL

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desoto County Hospital District

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1619293180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL",
            "address_2": "SUITE 104",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528157",
            "telephone_number": "941-764-0444",
            "fax_number": "941-764-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL",
            "address_2": "SUITE 104",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528157",
            "telephone_number": "941-764-0444",
            "fax_number": "941-764-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTINGHAM",
        "first_name": "COHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN3024932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Center, Inc.
• Northland Hearing Centers, Inc.
• Northwood Anesthesia Associates LLC
• Alice Norwood
• Sydney Lee Notermann, MD
• Roselline Nunez, APRN
• Nurse Pro LLC
• Nursecore Management Services, LLC
• Nursing Charlotte Home Health Care, Inc.
• Nytech Sleep Solutions, Inc.

• All providers in Port Charlotte, FL
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.