Active NPI
Rebecca J Coccia, N.P.
- Nurse Practitioner
- Dimondale, MI
National Provider Identifier
1881643302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704170853
- Practice address
- 4000 N Michigan Rd
Dimondale, MI 48821-9744 - Phone
- (517) 646-6258
- NPI assigned
- May 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704170853 | MI | Primary |
Addresses
Primary practice location
4000 N Michigan Rd
Dimondale, MI 48821-9744
Mailing address
21333 Haggerty Rd
Ste 150
Novi, MI 48375-5510
Phone (248) 662-0250
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00274198 | Other | IL | RR MCARE |
| 2607932 | Medicaid | OH | |
| 1594661 | Medicaid | LA | |
| P00249348 | Other | MI | RR MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881643302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21333 HAGGERTY RD",
"address_2": "STE 150",
"city": "NOVI",
"state": "MI",
"postal_code": "483755510",
"telephone_number": "248-662-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 N MICHIGAN RD",
"city": "DIMONDALE",
"state": "MI",
"postal_code": "488219744",
"telephone_number": "517-646-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCCIA",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704170853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE",
"identifier": "P00274198",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2607932",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1594661",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00249348",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dimondale, MI
- Daniel Robert Bair, DDS
- Timothy M Bair, D.D.S.
- Kristy L Beck-Bair, D.D.S.
- Brian M Grisdela DDS PLLC
- Erika Clark
- Denise Lynne Cooper, CNP
- Diamondale Nursing Care Center, LLC (Dimondale Nursing Care Center)
- Echo Integrative (Echo Integrative Nonprofit)
- Family Dental Care of Dimondale, PC
- Brian Michael Grisdela, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.