Kathleen Cockrell, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2023035504 Issued in MO

Practice address

102 Progress Pkwy
Sullivan, MO 63080-2359

Phone

(573) 878-1177

NPI assigned

Aug 30, 2023

Last updated

Aug 30, 2023By the provider in NPPES

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1831974443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W WASHINGTON ST",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531218",
            "telephone_number": "573-885-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROGRESS PKWY",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802359",
            "telephone_number": "573-878-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Cuba",
            "state": "MO",
            "postal_code": "654531218",
            "country_code": "US",
            "telephone_number": "573-885-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2023035504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bryan, FNP-C
• Caroline Brym, PHARMD
• Allyson Marie Byron, FNP-C
• Anna Carr, MOT, OTR/L
• Christopher a. Parks, DDS, P.C.
• Community Care Ctr of Sullivan, Inc (Meramec Nursing Center)
• Compass Anesthesia Services LLC
• Compass Health, Inc.
• Cara Conrad, DO, ATC
• Sheilan Cook-Cornman, LPC

• Hearing Instrument Specialist in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.