Amy Dawn Cooper

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

4874 Cabin Creek Road
Charleston, WV 25134

Phone

(681) 799-0334

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1013507227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4874 CABIN CREEK ROAD",
            "address_2": "4874 CABIN CREEK ROAD",
            "city": "MIAMI",
            "state": "WV",
            "postal_code": "251340277",
            "telephone_number": "681-799-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4874 CABIN CREEK ROAD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25134",
            "telephone_number": "681-799-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Jayne Cookson, LPC
• Kevin Cooley
• Raymond P Coombe, M.D.
• Jennifer Coomes
• Amanda Cooper
• Annette Cooper, CRNA
• Courtney Cooper
• Craig Cooper
• Deja Cooper
• Dustin Cooper, PRSS

• Personal Care Attendant in Charleston, WV
• Providers in Charleston, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.