Individual provider Active NPI

Richard Todd Cooper, NP

  • Acute Care Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1003151945
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP07104 Issued in LA
Practice address
1001 Gause Blvd
Slidell, LA 70458-2939
Phone
(985) 643-2200
NPI assigned
Dec 4, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09305086MedicaidMS
2319345MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130216000030 LA Practitioner - Nurse Practitioner 6507010741 Reassigns benefits to 3 organizations
I20141031001453 MS Practitioner - Nurse Practitioner 6507010741 Reassigns benefits to 2 organizations

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
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

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

LicenseStateTypeSpecialty
AP07104LAMDAcute Care Nurse Practitioner
854822MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 7, 2013 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Dec 10, 2020 Accepting new patients
Hancock Emergency Group LLC Nurse Practitioner CurrentSince Sep 1, 2014 Accepting new patients
Acs Primary Care Physicians Louisiana PC Nurse Practitioner CurrentSince Oct 1, 2014 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Clinic, LLC CurrentSince Jan 7, 2013 Accepting new patients
Belle Chasse Physician Services LLC Nurse Practitioner CurrentSince Sep 22, 2019 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Dec 10, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.