Active NPI
Laurie J Cole
- Case Manager/Care Coordinator
- Cocoa, FL
National Provider Identifier
1639605686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3810 Haley CT
Unit 7
Cocoa, FL 32926-4265 - Phone
- (321) 960-9104
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
3810 Haley CT
Unit 7
Cocoa, FL 32926-4265
Mailing address
3810 Haley CT
Unit 7
Cocoa, FL 32926-4265
Phone (321) 960-9104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629483706 | Other | FL | ANGELS FOR KIDS ON CALL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1639605686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 HALEY CT",
"address_2": "UNIT 7",
"city": "COCOA",
"state": "FL",
"postal_code": "329264265",
"telephone_number": "321-960-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 HALEY CT",
"address_2": "UNIT 7",
"city": "COCOA",
"state": "FL",
"postal_code": "329264265",
"telephone_number": "321-960-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "LAURIE",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANGELS FOR KIDS ON CALL",
"identifier": "1629483706",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.