Organization Active NPI

Coproviders

  • Community Health Worker
  • Live Oak, FL
National Provider Identifier
1801288527
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
COPROVIDERS
Practice address
5987 112TH PL
Live Oak, FL 32060-7270
Phone
(386) 697-1156
Fax
(352) 271-4255
NPI assigned
Mar 4, 2015
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Cheryl A. OsgoodNPI 1134511389
Title
Owner
Phone
(386) 697-1156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL
Community Health Worker 172V00000X FL Primary

Addresses

Primary practice location

5987 112TH PL
Live Oak, FL 32060-7270

Mailing address

5987 112TH PL
Live Oak, FL 32060-7270
Phone (386) 697-1156

Other identifiers 1

IdentifierTypeStateIssuer
581849MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1801288527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5987 112TH PL",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320607270",
            "telephone_number": "386-697-1156",
            "fax_number": "352-271-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5987 112TH PL",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320607270",
            "telephone_number": "386-697-1156",
            "fax_number": "352-271-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "OSGOOD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-697-1156"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581849",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.