Individual provider Active NPI

Kathryn Grace Cochran

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1871092478
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23856 Issued in TN
Practice address
201 California St Ste 1300
San Francisco, CA 94111-5015
Phone
(844) 847-8216
NPI assigned
Feb 8, 2018
Last updated
Mar 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 195489 TN
Family Nurse Practitioner 363LF0000X 23856 TN Primary

Addresses

Primary practice location

201 California St Ste 1300
San Francisco, CA 94111-5015

Mailing address

10449 N Palisades Way
Boise, ID 83714-9505
Phone (865) 964-9515

Other practice location 1

501 Folsom St
San Francisco, CA 94105-3174
Phone (844) 847-8216

Other practice location 2

10449 N Palisades Way
Boise, ID 83714-9505
Phone (865) 964-9515

Other names 1

  • Kathryn Grace Douglass 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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
195489TNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1871092478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10449 N PALISADES WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837149505",
            "telephone_number": "865-964-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CALIFORNIA ST STE 1300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115015",
            "telephone_number": "844-847-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Folsom St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941053174",
            "country_code": "US",
            "telephone_number": "844-847-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10449 N Palisades Way",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837149505",
            "country_code": "US",
            "telephone_number": "865-964-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "KATHRYN",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "195489",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DOUGLASS",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.