Christina Ann Camp Cockerham · Christina Leach · Women's Health Nurse Practitioner

112 Maverick Ct, Granbury, TX 76049-1381

Overview

Christina Ann Camp Cockerham is a Women's Health Nurse Practitioner practicing in Shreveport, Louisiana. The National Provider Identifier (NPI) is #1962714196, which was assigned on July 2, 2010, and the registration record was last updated on January 13, 2026. The practitioner's main practice location is at 1400 E Bert Kouns Industrial Loop Ste 100, Shreveport, LA 71105-5647; the contact telephone number is 3186814606, and the fax number is 3186814607. The primary taxonomy of Christina Ann Camp Cockerham is Women's Health Nurse Practitioner (363LW0102X), with specialization in Women's Health. Christina Ann Camp Cockerham is licensed to practice in the state of Louisiana (#AP06125).

Provider Information

NPI 1962714196
Entity Type Individual
Provider Name MRS. CHRISTINA ANN CAMP COCKERHAM
Other Name CHRISTINA LEACH
(Former Name)
Gender Female
Credential WHNP
Practice Address 1400 E Bert Kouns Industrial Loop Ste 100
Shreveport
LA 71105-5647
Practice Telephone 3186814606
Practice Fax Number 3186814607
Mailing Address 112 Maverick Ct
Granbury
TX 76049-1381
Mailing Telephone 8887318994
Certification Date 2026-01-13
Enumeration Date 2010-07-02
Last Update Date 2026-01-13
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5698907335
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name CHRISTINA LEACH
Primary Specialty NURSE PRACTITIONER
Organization Legal Name CHRISTUS TRINITY CLINIC
Address 1400 E Bert Kouns Industrial Loop
100 Christus Trinity Clinic
Shreveport
LA 71105-5647

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LW0102XNurse PractitionerWomen's HealthAP06125LA

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
2515331LAMEDICAID

Secondary Practice Locations

AddressTelephoneFax
111 N Orange Ave Ste 800, Orlando, FL 3280123818887318994
112 Maverick Ct, Granbury, TX 7604913818887318994
222 2nd Ave S Fl 17, Nashville, TN 3720123668887318994
301 Main St Ste 2200, Baton Rouge, LA 7080100148887318994

Taxonomy Information

Primary Taxonomy

Code 363LW0102X
Taxonomy Women's Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Women's Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Grace Christianne Manuela Wallace 1600 W Commercial Blvd, Fort Lauderdale, FL 33309-3006Women's Health Nurse Practitioner2026-05-04
Jessica Guerin 2050 Lexington Rd, Versailles, KY 40383-1738Women's Health Nurse Practitioner2026-04-30
Juanita Isal Kahler 811 S 16th St, Centerville, IA 52544-2501Women's Health Nurse Practitioner2026-05-01
Mari Kathryn Seward 1300 E Centennial Dr, Pittsburg, KS 66762-6650Women's Health Nurse Practitioner2026-05-06
Deena Paulette Gatlin 5750 Pineland Dr Ste 240, Dallas, TX 75231-5300Women's Health Nurse Practitioner2026-04-24
Kathleen Harrelson · Katie Harrelson 2296 Opitz Blvd Ste 440, Woodbridge, VA 22191-3355Women's Health Nurse Practitioner2026-04-28
Kristen M Diaz 1220 N Us Highway 301, Tampa, FL 33619-3556Women's Health Nurse Practitioner2026-04-30
Simone Blackburn 111 S 11th St, Philadelphia, PA 19107-4870Women's Health Nurse Practitioner2026-05-06
Katelyn Nicole Alverson · Katie Alverson 2777 Long Beach Blvd Ste 200, Long Beach, CA 90806-1513Women's Health Nurse Practitioner2026-04-30
Jana Black 543 Glenwood Cir, Rigby, ID 83442-1429Women's Health Nurse Practitioner2026-05-09
Find all providers with the same taxonomy

Location Information

Street Address 112 MAVERICK CT
City GRANBURY
State TX
Zip Code 76049-1381
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Dacodah Beech 112 Maverick Ct, Granbury, TX 76049-1381Family Nurse Practitioner2018-07-23
Aimee Branch 112 Maverick Ct, Granbury, TX 76049-1381Family Nurse Practitioner2017-05-30
Chanel Nicole Tinsley 112 Maverick Ct, Granbury, TX 76049-1381Family Nurse Practitioner2020-04-28
Katherine Watt 112 Maverick Ct, Granbury, TX 76049-1381Family Nurse Practitioner2018-08-22
Violet Nkasiobi Nnaemeka 112 Maverick Ct, Granbury, TX 76049-1381Family Nurse Practitioner2020-05-17
Bonnie Annette Cave 112 Maverick Ct, Granbury, TX 76049-1381Women's Health Nurse Practitioner2018-09-12
Renee Tabuena 112 Maverick Ct, Granbury, TX 76049-1381Family Nurse Practitioner2020-10-19
Krystil Ravenell 112 Maverick Ct, Granbury, TX 76049-1381Family Nurse Practitioner2019-06-12
Bridget T Maldonado 112 Maverick Ct, Granbury, TX 76049-1381Family Nurse Practitioner2022-01-18
Jacqlyn Catherine Ann Sanchez · Jacqlyn Catherine Ann Pahssen 112 Maverick Ct, Granbury, TX 76049-1381Women's Health Nurse Practitioner2018-10-25
Find all providers in the same location

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Caleb Girdner 3803 Highway 377, Ste. 200, Granbury, TX 76049Physical Therapist2025-08-28
Brinleigh Kirkland 3803 Highway 377, Ste. 200, Granbury, TX 76049Physical Therapist2025-11-24
Natalie Marie Alvarez · Natalie Marie Hedge 802 Rambling Ct, Granbury, TX 76049Occupational Therapist2017-02-10
Luke A Chambless 5820 Long Drive, Granbury, TX 76049Diagnostic Radiology Physician2013-04-22
Martha Dianne Burke · Marty D Burke 6512 Circo Dr, Granbury, TX 76049Addiction (Substance Use Disorder) Counselor2007-03-07
Modern Dental Professionals Dallas/Ft. Worth PC 3902 E. Us Highway 377, #100, Granbury, TX 76049General Practice Dentistry2011-08-24
Rhonda Lynn Clark · Rhonda Lynn Leach 3209 Fall Creek Highway, Granbury, TX 76049Professional Counselor2026-05-04
Rebecca S. Shank Md Pa 2003 Rockview Dr., Granbury, TX 76049Neurology Physician2007-03-30
Debra Lynn Shearon 3605 Pecan Arbor Ct, Granbury, TX 76049Family Nurse Practitioner2020-03-02
Katharine Phillips 3803 Sh 377e, 200, Granbury, TX 76049Physical Therapist2022-04-21
Find all providers in the same zip code

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Ashley Christina Davis · Ashley Christina Foster 28245 Avenida Primavera, Cathedral City, CA 92234-3738Nurse Practitioner2026-04-07
Christina Macastaneda Slosar · Christina Maria Castaneda 333 S Beaudry Ave, Los Angeles, CA 90017-1466Speech-Language Pathologist2026-02-17
Christina Danyale Smith · Christina Danyale Mitchell 122 Holly Street, Bude, MS 39630Licensed Practical Nurse2025-03-12
Christina Patricia Denise Carver · Christina Patricia Miller 418 Center St, Wheelersburg, OH 45694-1712Case Manager/Care Coordinator2026-02-27
Christina Mcswain Burke · Christina Dawn Mcswain Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514Clinical Social Worker2019-03-20
Christina France Bien-Aime · Christina France Saint-Ilma 4755 Ogletown Stanton Rd, Newark, DE 19718-2200Student in an Organized Health Care Education/Training Program2026-04-04
Christina Loeschke · Christina Straetker 305 Vine St, Dix, NE 69133-8807Chore Provider2025-02-27
Christina Wetter · Christina Michelle Crowe 6706 N 9th Ave Ste B5, Pensacola, FL 32504-7378Mental Health Counselor2026-02-19
Christina Michelle Kennedy · Christina Sherman 208 Booth Rd, Suite B, Ormend Beach, FL 32174Speech-Language Pathologist2012-03-12
Christina Box · Christina Hull 7217 Se 15th St, Midwest City, OK 73110-5235Licensed Practical Nurse2026-02-16

Improve Information

Do you have more infomration about Christina Ann Camp Cockerham? Please fill in the following form.


Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.