Active NPI
Cherie L Cooper, NP
- Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1023341898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 14964
- Practice address
- 8120 Timberlake Way
Ste 101
Sacramento, CA 95823-5412 - Phone
- (916) 423-2124
- Fax
- (916) 423-2127
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 14964 | CA | Primary |
Addresses
Primary practice location
8120 Timberlake Way
Ste 101
Sacramento, CA 95823-5412
Mailing address
8120 Timberlake Way
Ste 101
Sacramento, CA 95823-5412
Phone (916) 423-2124
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ03024Z | Medicaid | CA | |
| ZZZ80876Z | Medicaid | CA | |
| 14964 | Other | CA | RN |
| CT709Z | Other | CA | MEDICARE PROVIDER NUMBER--PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1023341898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY",
"address_2": "STE 101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235412",
"telephone_number": "916-423-2124",
"fax_number": "916-423-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 TIMBERLAKE WAY",
"address_2": "STE 101",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235412",
"telephone_number": "916-423-2124",
"fax_number": "916-423-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CHERIE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "14964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ03024Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ80876Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "14964",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER--PTAN",
"identifier": "CT709Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.