Active NPI
Alexandrea Josephine Cochran
- Home Health Aide
- Crestline, OH
National Provider Identifier
1992043962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 401158121010
- Practice address
- 420 N Henry St
Crestline, OH 44827-1364 - Phone
- (419) 617-6747
- NPI assigned
- Jan 24, 2013
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 401158121010 | OH | Primary |
Addresses
Primary practice location
420 N Henry St
Crestline, OH 44827-1364
Mailing address
420 N Henry St
Crestline, OH 44827-1364
Phone (419) 617-6747
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 |
|---|---|---|---|
| 401158121010 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1992043962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N HENRY ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271364",
"telephone_number": "419-617-6747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N HENRY ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271364",
"telephone_number": "419-617-6747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "ALEXANDREA",
"middle_name": "JOSEPHINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "401158121010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestline, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.