Active NPI
Olivia Babb Cooper, FNP
- Family Nurse Practitioner
- Oxford, MS
National Provider Identifier
1043793672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902746
- Practice address
- 2706 W Oxford Loop Ste 105
Oxford, MS 38655-0658 - Phone
- (662) 550-4250
- Fax
- (662) 550-4612
- NPI assigned
- Sep 10, 2018
- Last updated
- Nov 12, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902746 | MS | Primary |
Addresses
Primary practice location
2706 W Oxford Loop Ste 105
Oxford, MS 38655-0658
Mailing address
82 County Road 418
Oxford, MS 38655-9554
Phone (662) 832-6152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902746 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ageless Men's Health, LLC | Past | Accepting new patients | |
| Ageless Men's Health, LLC | Family | Past | Accepting new patients |
| Amh Series II TN, LLC | Past | Accepting new patients | |
| Ageless Men's Health, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Southaven, MS
- NPI 1124322474
-
dba Ageless Men's Health
- Family Medicine Physician
- Franklin, TN
- NPI 1134798184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1043793672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 COUNTY ROAD 418",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559554",
"telephone_number": "662-832-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 W OXFORD LOOP STE 105",
"city": "OXFORD",
"state": "MS",
"postal_code": "386550658",
"telephone_number": "662-550-4250",
"fax_number": "662-550-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "OLIVIA",
"middle_name": "BABB",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.