Lisa Cooper

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1127 Second St
Lake Village, AR 71653-1541

Phone

(870) 265-3808

NPI assigned

Jan 19, 2022

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

Other names 1

• Lisa Meredith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  NPD

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1043962368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ROBERTS DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555723",
            "telephone_number": "870-367-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 SECOND ST",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531541",
            "telephone_number": "870-265-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MEREDITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chicot Operations, LLC
• Chicot Radiology Consultant
• Chicot SNF Operations LLC
• Lori Damon Clark, OT-A
• Cheryl A Cole
• Chiquita R Courtney, ADULT CASE MANAGER
• Jennifer Crnkovic
• Kamila Lea Crouse, PHARM .D.
• Khalil Lynn Crouse, PHARM.D.
• Michelle Leigh Crouse, PHARM D.

• All providers in Lake Village, AR
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.