Individual provider Active NPI

Pamela Lee Cochran, M.S.N.,C.N.P.

  • Gerontology Nurse Practitioner
  • Oberlin, OH
National Provider Identifier
1710972302
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
06485 Issued in OH
Practice address
600 Kendal Dr
Oberlin, OH 44074-1900
Phone
(440) 775-9819
Fax
(440) 775-9854
NPI assigned
Sep 20, 2005
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 06485 OH Primary

Addresses

Primary practice location

600 Kendal Dr
Oberlin, OH 44074-1900

Mailing address

1001 Lakeside E Ave 1000
Cleveland, OH 44114-1162
Phone (440) 984-1546

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)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
06485OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alok Bhaiji, MD, Inc. PastSince Nov 8, 2019 Accepting new patients
Geriatric Nurse Practitioners, Inc. Past Accepting new patients
Infinity Health Care, LLC PastSince Jul 1, 2015 Accepting new patients
Optum Care Services Company Gerontology PastSince Aug 19, 2017 Accepting new patients
Qofl Services LLC Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1710972302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAKESIDE E AVE 1000",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141162",
            "telephone_number": "440-984-1546",
            "fax_number": "216-420-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KENDAL DR",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741900",
            "telephone_number": "440-775-9819",
            "fax_number": "440-775-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "PAMELA",
        "middle_name": "LEE",
        "credential": "M.S.N.,C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "06485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oberlin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.