Fredericka Dawn Cottrill

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20646 Issued in WV

Practice address

108 Dee St
Buckhannon, WV 26201-4082

Phone

(304) 704-1758

NPI assigned

Jun 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1801639703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DEE ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262014082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DEE ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262014082",
            "telephone_number": "304-704-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRILL",
        "first_name": "FREDERICKA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "20646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Conde
• Betty Lee Conner
• Tuesday F. a. Cook, MD
• Allison Chloe Copenhaver
• Serge Cormier, MD
• Joanna Cottrill
• Donna Courtney
• Doris Jean Cowgill, CRNA
• Jamie Lynn Cox, PA-C
• Mary Jane Cox

• Licensed Practical Nurse in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.