Active NPI
Linda Cole
- Contractor
- Cocoa, FL
National Provider Identifier
1922490572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 12299
- Practice address
- 3340 Pine St
Cocoa, FL 32926-2935 - Phone
- (321) 543-5911
- Fax
- (321) 985-0335
- NPI assigned
- Feb 19, 2015
- Last updated
- Feb 19, 2015
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 12299 | FL | Primary |
Addresses
Primary practice location
3340 Pine St
Cocoa, FL 32926-2935
Mailing address
1346 Wilderness LN
Titusville, FL 32796-4219
Phone (321) 305-6264
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12299 | FL | MD | Contractor |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- Titusville, FL
- NPI 1942697420
-
- Assisted Living Facility
- Cocoa, FL
- NPI 1053684779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1922490572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 WILDERNESS LN",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327964219",
"telephone_number": "321-305-6264",
"fax_number": "321-985-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 PINE ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329262935",
"telephone_number": "321-543-5911",
"fax_number": "321-985-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "12299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
- Makeda Lashera Cockrell
- Cocoa Chiropractic & Injury Center, Inc. (Cocoa Accident & Injury Center)
- Aspen Elizabeth Coggins
- Evonda Colclough, LPN, HWC
- Laurie J Cole
- Heidi Comer
- Comfort Ride LLC
- Community Services Council of Brevard County
- Community Treatment Center, Inc.
- Compounding Cosmetics, LLC (Compounding Cosmetics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.