Rebecka Lynn Cooperman, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

20878 Issued in CA

Practice address

11230 Sorrento Valley Rd
Suite 120
San Diego, CA 92121-1332

Phone

(858) 546-7600

Fax

(858) 408-4281

NPI assigned

Jan 25, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1003147455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 SORRENTO VALLEY RD",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211332",
            "telephone_number": "858-546-7600",
            "fax_number": "858-408-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 SORRENTO VALLEY RD",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211332",
            "telephone_number": "858-546-7600",
            "fax_number": "858-408-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERMAN",
        "first_name": "REBECKA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "574398",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "20878",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "3619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shani Ayanna Cooper, L.AC.
• Sheridan Augustine Marshall Cooper
• Steve Oland Cooper Jr.
• Tiffany Joyce Cooper, MS, RD
• Xander Jack Cooper
• Chene Coordt, OTR/L
• Coounty of San Diego
• Patrick Cope
• Angela Copeland, PSYD
• Carter Donald Copeland, PA-C

• Adult Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.