Trudy Cohen, NP (ADULT NURSE PRAC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

704284/NP 17272 Issued in CA

Practice address

1000 Vale Terrace
Vista Community Clinic
Vista, CA 92084

Phone

(760) 631-5000

Fax

(760) 414-3713

NPI assigned

Aug 10, 2006

Last updated

Nov 10, 2011By 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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: trudy.cohennp.p1@direct.vistacommunityclinic.nextgenshare.com

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1700897626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE",
            "address_2": "VISTA COMMUNITY CLINIC",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92084",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "TRUDY",
        "name_prefix": "Ms.",
        "credential": "NP (ADULT NURSE PRAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "704284/NP 17272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000104000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steffanie Rae Cobler, NP-C
• Dayana Noemy Coffler, DMD
• Lisa Cohen, OTR/L, MOT
• Lynn Cohen, PPS
• Shereen Jessica Cohen, PH.D.
• Monica Colavita, MSN
• Briana Coleman
• John Alden Coleman, D.D.S.
• John Alden Coleman III, D.D.S.
• Collective Impact Solutions

• Nurse Practitioner in Vista, CA
• Providers in Vista, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.