DOMONIQUE NIKKI COCHRAN (NPI# 1861761348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861761348 |
| Entity Type | Individual |
| Full Name | DOMONIQUE NIKKI COCHRAN |
| Other Name | DOMONIQUE HAVARD COCHRAN |
| Credential | FNP |
| Practice Address |
7001 Hwy 614 Hurley MS 39555 |
| Mailing Address |
Po Box 850 Hurley MS 39555-0850 |
| Practice Telephone | 2285882938 |
| Practice Fax Number | 2285889399 |
| Mailing Telephone | 2285882938 |
| Mailing Fax Number | 2285889399 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R854690 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09336715 | 05 |
| Street Address |
7001 HWY 614 |
| City | HURLEY |
| State | MS |
| Zip Code | 39555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912967795 | Dawn Jayelynn Watkins | Family Medicine | 7001 Hwy 614, Hurley, MS 39555 | 2006-03-24 |
| 1730694662 | Ashley Williams Becker | Nurse Practitioner | 7001 Hwy 614, Hurley, MS 39555 | 2017-12-14 |
| 1275804270 | Anthony T Tanner | Nurse Practitioner | 7001 Hwy 614, Hurley, MS 39555 | 2012-01-23 |
| 1275764110 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 7001 Hwy 614, Hurley, MS 39555 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679673016 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 7021 Hwy 614, Hurley, MS 39555 | 2006-09-25 |
| 1124504790 | Adrienne Smith Ware | Dentist | 7305 Highway 614, Hurley, MS 39555 | 2018-07-17 |
| 1285911693 | Southern Ms Heart Center,pa | Internal Medicine | 7001 Highway 614, Hurley, MS 39555 | 2011-11-14 |
| 1114120474 | Jason D. Beck | Internal Medicine | 7001 Highway 614, Hurley, MS 39555 | 2007-06-06 |
| 1548235013 | Holmac Inc | Pharmacy | 7100 Highway 614, Hurley, MS 39555-7395 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435088 | Knox Creek Volunteer Fire Department | Ambulance | 8608 Hurley Road, Hurley, VA 24620-0000 | 2020-10-22 |
| 1639725401 | Diane Aragon | Nurse Practitioner | 3 Pop Morrison St., Hurley, NM 88043 | 2019-08-16 |
| 1477034999 | Family Preservation Services, Inc. | Community/Behavioral Health | 6339 Hurley Rd, Hurley, VA 24620-8601 | 2018-08-23 |
| 1295239655 | Laura Catherine Potter | Nurse Practitioner | 2890 Knox Creek Dr, Hurley, VA 24620-8646 | 2018-03-21 |
| 1104345768 | Toni Lee Hedges | Case Manager/Care Coordinator | 375 Old Route 209, Hurley, NY 12443-5922 | 2017-09-14 |
| 1407379118 | Mounts Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 1104 Big Red Road, Hurley, VA 24620 | 2017-07-25 |
| 1740701614 | Gaylene Heaton | Specialist/Technologist, Other | 502 Copper St Ste 5, Hurley, WI 54534-1386 | 2017-06-30 |
| 1093267940 | Kierstin Andresen | Acupuncturist | 501 Granite St Bsmt 0, Hurley, WI 54534-1372 | 2016-10-26 |
| 1326498668 | Iris Goliger | Psychologist | 212 Orchard St, Hurley, NY 12443-5619 | 2016-06-17 |
| 1437514726 | Joseph Mounts | Driver | 1104 Big Red Rd, Hurley, VA 24620-8036 | 2015-12-30 |
| Find all providers in HURLEY | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725401 | Diane Aragon | Nurse Practitioner | 3 Pop Morrison St., Hurley, NM 88043 | 2019-08-16 |
| 1295239655 | Laura Catherine Potter | Nurse Practitioner | 2890 Knox Creek Dr, Hurley, VA 24620-8646 | 2018-03-21 |
| 1558970764 | Lester E Cox Medical Centers | Nurse Practitioner | 86 Holt Spring Road, Hurley, MO 65675 | 2020-07-24 |
| 1982602926 | Michele L Harma | Nurse Practitioner | 501 Granite St, Hurley, WI 54534-1384 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.