Onsite Health Service Providers, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN131204 Issued in GA

Legal business name

ONSITE HEALTH SERVICE PROVIDERS, LLC

Practice address

11995 Olmstead Dr
Fayetteville, GA 30215-8011

Phone

(678) 358-6956

NPI assigned

Dec 9, 2006

Last updated

Aug 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Donna Maria Cochrane, RN, BSN

Title

President

Phone

(678) 358-6956

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1831259126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 OLMSTEAD DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158011",
            "telephone_number": "678-358-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 OLMSTEAD DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158011",
            "telephone_number": "678-358-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE HEALTH SERVICE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "COCHRANE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-358-6956",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN131204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.