KRISTI COCKRELL (NPI# 1740839026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740839026 |
| Entity Type | Individual |
| Full Name | KRISTI COCKRELL |
| Practice Address |
3851 Commercial Center Dr Ladson SC 29456-4146 |
| Practice Telephone | 8433145434 |
| Mailing Telephone | 8433145434 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
5162 | SC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | STATE LICENSE | 5162 | 01 |
| Street Address |
3851 COMMERCIAL CENTER DR |
| City | LADSON |
| State | SC |
| Zip Code | 29456-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710999503 | Crystal L Adams I | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456 | 2006-08-12 |
| 1295336899 | Montana Tally | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-11-02 |
| 1942809041 | Sarah Moser | Occupational Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-10-20 |
| 1598372120 | Payton Lee Farris | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-09-28 |
| 1295341360 | Delilah Aguero | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-09-23 |
| 1679188205 | Mary Skelton | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-09-10 |
| 1396359170 | Altman Toledano | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-08-31 |
| 1174134639 | Tanya Chmunevich | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-08-10 |
| 1841808730 | Kayla Elizabeth Rymer | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-07-17 |
| 1760009377 | Julia M Masciale | Physical Therapist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159248 | Ingleside Family Dental, LLC | Dentist | 9403 Highway 78, Suite 201, Ladson, SC 29456 | 2020-03-20 |
| 1598231359 | Destiny Jenay Adkins | Specialist/Technologist | 9525 Highway 78 Apartment 400-207, Ladson, SC 29456 | 2018-10-19 |
| 1477049484 | Adebambo Adesanya | Driver | 1008 Turtle Dove Ln, Ladson, SC 29456 | 2018-07-03 |
| 1184117327 | Lauren Elizabeth Bradley | Speech-Language Pathologist | 9565 Hwy 78, Bldg. 700, Ste. 102, Ladson, SC 29456 | 2018-06-12 |
| 1205348067 | Samantha Marie Grimes | Speech-Language Pathologist | 9565 Highway 78 Bldg 102, Ladson, SC 29456 | 2017-11-01 |
| 1699295915 | Sara Paige Gagnier | Occupational Therapist | 9565 Hwy 78 Bldg 700 Ste 102, Ladson, SC 29456 | 2017-06-27 |
| 1467982728 | Heritage Dental LLC | Clinic/Center | 9598 Palmetto Commerce Parkway, Ladson, SC 29456 | 2017-06-19 |
| 1013384239 | Zachary Jordan | Pharmacist | 3685 Ladson Rd., Ladson, SC 29456 | 2015-08-24 |
| 1831534676 | Tracie Jo Horton | Registered Nurse | 3321 Ladson Rd., Ladson, SC 29456 | 2013-05-07 |
| 1972859684 | Nicole Marie Hall | Physical Therapist | 4340 Ladson Rd Ste B, Ladson, SC 29456 | 2012-07-31 |
| Find all providers in zip 29456 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651377 | Amanda Mcbrayer | Specialist/Technologist | 200 Idonia Dr, Taylors, SC 29687-3813 | 2020-02-17 |
| 1033760384 | Leslie Hagood | Specialist/Technologist | 138 Larkspur Ln, Columbia, SC 29229-8173 | 2019-09-26 |
| 1134616162 | Adriana Kelly | Specialist/Technologist | 714 S Lake Dr Ste 151, Lexington, SC 29072-3462 | 2018-04-16 |
| 1033623897 | Debra L Penland | Specialist/Technologist | 131 Charles B Gibson Blvd, Goose Creek, SC 29445-4559 | 2017-11-30 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1902201296 | Deborah Houk Cousins | Specialist/Technologist | 1183 Hebron Dunbar Rd, Bennettsville, SC 29512-7307 | 2014-10-29 |
| 1487991154 | Shanta Latrice Chester | Specialist/Technologist | 603 N Dennis Ave, Bishopville, SC 29010-1437 | 2013-01-14 |
| 1447543616 | Gwendolyn Barton Bozeman | Specialist/Technologist | 410 E Butler Rd, Mauldin, SC 29662-3250 | 2011-05-22 |
| 1750673737 | Shamra O Richardson | Specialist/Technologist | 618 8th Ave, Aynor, SC 29511 | 2011-05-09 |
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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.