Octavia Coker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704410074 Issued in MI

Practice address

20469 Elkhart St
Harper Woods, MI 48225-2237

Phone

(586) 229-4559

NPI assigned

Apr 7, 2015

Last updated

Dec 2, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1649666504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20566 WESTPHALIA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20469 ELKHART ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482252237",
            "telephone_number": "586-229-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "OCTAVIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703112872",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704410074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Harper Woods
• Citywide Transportation, LLC
• Class a Signature LLC
• Classic Touch Massage Therapy
• Clean and Comfort LLC
• Cora Coleman
• Community Mobile Services
• Compassionate Hearts Transitional Housing LLC
• Sharina J Cooper
• Ronald Brian Cornish, CMT

• Registered Nurse in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.