Individual provider Active NPI

William Elliot Cotter, R.N

  • Registered Nurse
  • San Antonio, TX
National Provider Identifier
1740556836
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
804629 Issued in TX
Practice address
1719 Sage Run
San Antonio, TX 78253-5807
Phone
(210) 488-4818
NPI assigned
Mar 22, 2012
Last updated
Mar 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 804629 TX Primary
Registered Nurse 163W00000X RN322688L PA

Addresses

Primary practice location

1719 Sage Run
San Antonio, TX 78253-5807

Mailing address

1719 Sage Run
San Antonio, TX 78253-5807
Phone (210) 488-4818

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN322688LPAMDRegistered Nurse
804629TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1740556836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 SAGE RUN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535807",
            "telephone_number": "210-488-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 SAGE RUN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535807",
            "telephone_number": "210-488-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "WILLIAM",
        "middle_name": "ELLIOT",
        "name_prefix": "Mr.",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "804629",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN322688L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.