JUDITH BLACKMAN-COCKRAN APRN NPI 1548331390

NPI Information

NPI: 1548331390
Provider Name: JUDITH BLACKMAN-COCKRAN, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
495 GOLD STAR HWY
SUITE 120
GROTON, CT
ZIP 06340
Phone: (860) 449-8882
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Judith Blackman-cockran, APRN is a pediatrics nurse practitioner in Groton, CT. Judith Blackman-cockran, APRN NPI is 1548331390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

495 GOLD STAR HWY
SUITE 120
GROTON, CT
ZIP 06340-228
Phone: (860) 449-8882
Fax: (860) 449-9195

The NPI 1548331390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	001870	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101870	OTHER		CONNECTICARE
2	2V4030	OTHER		HEALTH NET

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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