Kewanna Keion Cockerham

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

733 Dante St
New Orleans, LA 70118-1013

Phone

(504) 517-1711

NPI assigned

Jan 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1780224394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARCUS CHRISTIAN CIR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701265657",
            "telephone_number": "504-405-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 DANTE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181013",
            "telephone_number": "504-517-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKERHAM",
        "first_name": "KEWANNA",
        "middle_name": "KEION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7770000644136203",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Barracuda",
            "affiliation": "N",
            "endpointDescription": "encryted messaging system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "733 Dante St",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701181013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cobys Transportation
• Abigail Cocco, DO
• James Tyler Cochran
• Stephen R Cochran, M.D.
• Wendy Cochran, COTA
• Gwendolyn Cockrham, BSN,RN
• Jeffery W. Coco, MD
• Brian Coe, MD
• Kathleen Rachelle Coenson, LICSW
• Griffin Coffelt

• Behavior Technician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Behavior Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.