Active NPI
Richard Todd Cooper, NP
- Acute Care Nurse Practitioner
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP07104
- Practice address
- 1001 Gause Blvd
Slidell, LA 70458-2939 - Phone
- (985) 643-2200
- NPI assigned
- Dec 4, 2012
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 854822 | MS | |
| Acute Care Nurse Practitioner | 363LA2100X | AP07104 | LA | Primary |
Addresses
Primary practice location
1001 Gause Blvd
Slidell, LA 70458-2939
Mailing address
2375 Gause Blvd E
Slidell, LA 70461-4142
Phone (985) 643-2200
Other practice location 1
1839 Cooper Rd Ste 100
Picayune, MS 39466-2835
Phone (769) 242-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09305086 | Medicaid | MS | |
| 2319345 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Slidell, LA 70461-5520
Phone (985) 646-5100
1839 Cooper Rd
Picayune, MS 39466-2835
Phone (601) 651-3500
2375 Gause Blvd E
Pelican Urgent Care
Slidell, LA 70461-4142
Phone (985) 645-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP07104 | LA | MD | Acute Care Nurse Practitioner |
| 854822 | MS | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Hancock Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Acs Primary Care Physicians Louisiana PC | Nurse Practitioner | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic, LLC | Current | Accepting new patients | |
| Belle Chasse Physician Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
2370 Gause Blvd E
Slidell, LA 70461
Phone (985) 369-3755
1850 Gause Blvd E
Slidell, LA 70461
Phone (504) 495-4328
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2375 Gause Blvd E
Slidell, LA 70461
Phone (504) 645-9000
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
1839 Cooper Rd
Picayune, MS 39466
Phone (601) 651-3500
1839 Cooper Rd
Ste 100
Picayune, MS 39466
Phone (601) 651-3500
Interoperability endpoints
- rcooper19625@direct.ochsner.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
Nurse Practitioner
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1306889092
Nurse Practitioner
-
- Emergency Medicine Physician
- Bay St Louis, MS
- NPI 1295142396
Nurse Practitioner
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Health Center - Slidell Womens Health
- General Practice Physician
- Slidell, LA
- NPI 1548695166
-
dba Ochsner Urgent Care & Occupational Health - Diamondhead
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
dba Ochsner McComb Arrhythmia
- Internal Medicine Physician
- McComb, MS
- NPI 1972009363
-
dba OLP Pelican Urgent Care and Occupational Health
- Internal Medicine Physician
- Slidell, LA
- NPI 1548959679
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003151945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614142",
"telephone_number": "985-643-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582939",
"telephone_number": "985-643-2200"
}
],
"practiceLocations": [
{
"address_1": "1839 Cooper Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Picayune",
"state": "MS",
"postal_code": "394662835",
"country_code": "US",
"telephone_number": "769-242-1700",
"fax_number": "769-242-2148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "RICHARD",
"middle_name": "TODD",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MS",
"license": "854822",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "AP07104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09305086",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2319345",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.