TRAVIS EUGENE COCKERHAM (NPI# 1366888117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366888117 |
| Entity Type | Individual |
| Full Name | TRAVIS EUGENE COCKERHAM |
| Practice Address |
7821 Island Dr Anchorage AK 99504-2728 |
| Mailing Address |
Po Box 110554 Anchorage AK 99511-0554 |
| Practice Telephone | 9072277081 |
| Mailing Telephone | 9072277081 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
7821 ISLAND DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932442498 | Christopher Paul Jackson | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-04-03 |
| 1558795955 | Sarah Nyawech Reath | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-08-21 |
| 1619309796 | Travis Mau | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-07-31 |
| 1649602830 | Chantel Rushing | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-07-30 |
| 1992147011 | Alsey Tobias Williams | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-07-18 |
| 1821439167 | Amanda Hope Tuputausi Alo | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-07-15 |
| 1538506183 | Kevin Allen | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-05-22 |
| 1720424575 | Gatwech Jarl Gach | Technician | 7821 Island Dr, Anchorage, Anchorage, AK 99504-2728 | 2013-05-21 |
| 1417393448 | Imeleta Nansen | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-05-16 |
| 1649613092 | Marie Delosangeles Mateo- Aponte | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104467539 | Hilary Lashawn Patterson | Technician | 207 Muldoon Rd, Anchorage, AK 99504-1516 | 2019-10-07 |
| 1871143198 | Peggy R Giles | Technician | 4442 E 5th Ave, Anchorage, AK 99508-2223 | 2019-09-18 |
| 1679122543 | Pamela Sue Hill | Technician | 11723 Birch Knoll Loop, Anchorage, AK 99515-4310 | 2019-09-04 |
| 1811399769 | Tala Vaifanua | Technician | 426 N Bragaw St, Anchorage, AK 99508-1315 | 2014-09-23 |
| 1336576727 | Leland Hebert | Technician | 420 Ocean Point Dr, Anchorage, AK 99515-4424 | 2013-10-01 |
| 1982048658 | Isaia Luafulu | Technician | 7233 Madelynne Dr, Anchorage, AK 99504-4656 | 2013-04-24 |
| 1932442498 | Christopher Paul Jackson | Technician | 7821 Island Dr, Anchorage, AK 99504-2728 | 2013-04-03 |
| 1447591227 | Julieelaine Pentecostes | Technician | 6700 Howard Ave, Anchorage, AK 99504-1895 | 2013-03-04 |
| 1760720593 | Celest Nicole Humphrey | Technician | 8628 Swiss Pl, Anchorage, AK 99507-3655 | 2013-01-29 |
| 1174888705 | Carla P Ibanez | Technician | 1010 W 11th Ave Apt 1, Anchorage, AK 99501-4365 | 2012-07-10 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.