DR. KIMBERLY ANN COCHRAN PHD MSN APRN PMHNP NPI 1811483480

NPI Information

NPI: 1811483480
Provider Name: DR. KIMBERLY ANN COCHRAN, PHD MSN APRN PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: MEDTRIQ LLC

PECOS Registration: Yes

Address:
8194 W DEER VALLEY RD STE 106-516
PEORIA, AZ
ZIP 85382
Phone: (623) 777-7551
Get Directions

DR. Kimberly Ann Cochran, PHD MSN APRN PMHNP is a psychiatric/mental health nurse practitioner in Peoria, AZ with 6 years of experience. DR. Kimberly Ann Cochran, PHD MSN APRN PMHNP NPI is 1811483480. 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:

8194 W DEER VALLEY RD STE 106-516
PEORIA, AZ
ZIP 85382
Phone: (623) 777-7551

The NPI 1811483480 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2018 and was last updated on 4/9/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	223084	ARIZONA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	403423	NEW YORK	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	TPAN16	FLORIDA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	59345	NEW MEXICO	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61046297	WASHINGTON	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	9368116	FLORIDA	No

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	2156425	MEDICAID	WASHINGTON
2	993686	MEDICAID	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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