Individual provider Active NPI

Andrea Laura Tatkon-Coker, APMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mason City, IA
National Provider Identifier
1790032167
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G-070675 Issued in IA
Practice address
37 Oak Dr
Mason City, IA 50401-2962
Phone
(641) 423-2521
NPI assigned
Aug 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G-070675 IA Primary

Addresses

Primary practice location

37 Oak Dr
Mason City, IA 50401-2962

Mailing address

37 Oak Dr
Mason City, IA 50401-2962
Phone (641) 423-2521

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

State licenses

LicenseStateTypeSpecialty
G-070675IAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1790032167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 OAK DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012962",
            "telephone_number": "641-423-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 OAK DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012962",
            "telephone_number": "641-423-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATKON-COKER",
        "first_name": "ANDREA",
        "middle_name": "LAURA",
        "name_prefix": "Prof.",
        "credential": "APMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-04",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G-070675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.