Individual provider Active NPI

Sheila Patricia Cookhorn, REGISTERED NURSE

  • Registered Nurse
  • Sunrise, FL
National Provider Identifier
1861768194
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9175469 Issued in FL
Practice address
6270 NW 18TH Street
Sunrise, FL 33313
Phone
(954) 485-8471
Fax
(954) 733-8874
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9175469 FL Primary

Addresses

Primary practice location

6270 NW 18TH Street
Sunrise, FL 33313

Mailing address

6270 NW 18TH St.
Sunrise, FL 33313
Phone (954) 485-8471

Other names 1

  • Mrs. Sheila Patricia Cookhorn Former name

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
RN9175469FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1861768194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 NW 18TH ST.",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-485-8471",
            "fax_number": "954-788-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 NW 18TH STREET",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-485-8471",
            "fax_number": "954-733-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKHORN",
        "first_name": "SHEILA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9175469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "COOKHORN",
            "middle_name": "PATRICIA",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.