Provider Demographics
NPI:1457491201
Name:COCKE, ARIKA B (NP)
Entity Type:Individual
Prefix:
First Name:ARIKA
Middle Name:B
Last Name:COCKE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 RIO EAST CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8040
Mailing Address - Country:US
Mailing Address - Phone:434-975-7777
Mailing Address - Fax:434-975-7774
Practice Address - Street 1:900 RIO EAST CT
Practice Address - Street 2:SUITE A
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8040
Practice Address - Country:US
Practice Address - Phone:434-975-7777
Practice Address - Fax:434-975-7774
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024165677363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010000271Medicaid
VA001970U59Medicare ID - Type Unspecified
VAP92717Medicare UPIN