Individual provider Active NPI

Kathryn J Cooper, NP

  • Acute Care Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1053331413
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
12096 Issued in TN
Practice address
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone
(901) 701-5825
Fax
(901) 767-6591
NPI assigned
Jul 20, 2006
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN 12096 TN
Acute Care Nurse Practitioner 363LA2100X 200088 OK
Acute Care Nurse Practitioner 363LA2100X 12096 TN Primary

Addresses

Primary practice location

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (901) 227-8140

Other practice location 2

6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-2727

Other practice location 3

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 227-8908

Other practice location 4

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-0732

Other practice location 5

1995 Highway 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

Other practice location 6

6263 Poplar Ave
Suite 1032
Memphis, TN 38119-4701
Phone (901) 761-3255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OK, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070509000650 TN Practitioner - Nurse Practitioner 6901902873 Reassigns benefits to 6 organizations
I20221024002396 OK Practitioner - Nurse Practitioner 6901902873 Reassigns benefits to 2 organizations
I20230405000458 NY Practitioner - Nurse Practitioner 6901902873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians
Germantown Emergency Physicians, PLLCGroup PAC ID 7214386812, 29 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN 12096TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Jan 10, 2024 Accepting new patients
Warren Clinic Inc CurrentSince Nov 9, 2025 Accepting new patients
App of Tennessee HM, PLLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jan 10, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Jan 10, 2024 Accepting new patients
Methodist Inpatient Physicians LLC CurrentSince Aug 4, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 28, 2023 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Aug 7, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jan 10, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Mar 28, 2023 Accepting new patients
Westchester Medical Center Past Accepting new patients
Northcrest Physician Services Inc Past Accepting new patients
Francis J. Fenaughty MD, P.C. Past Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
  • Direct secure messaging: kcooper28260@mlh.direct-ci.com
  • Direct secure messaging: kcooper28583@tuftsmedicine.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1053331413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-701-5825",
            "fax_number": "901-767-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-227-8140",
            "fax_number": "901-227-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 Humphreys Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202373",
            "country_code": "US",
            "telephone_number": "901-227-2727",
            "fax_number": "901-227-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6019 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202113",
            "country_code": "US",
            "telephone_number": "901-227-8908",
            "fax_number": "901-226-4774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6019 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202113",
            "country_code": "US",
            "telephone_number": "901-226-0732",
            "fax_number": "901-226-1456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193635",
            "country_code": "US",
            "telephone_number": "901-476-2621",
            "fax_number": "901-475-5321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6263 Poplar Ave",
            "address_2": "Suite 1032",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381194701",
            "country_code": "US",
            "telephone_number": "901-761-3255",
            "fax_number": "901-761-3257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KATHRYN",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN 12096",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "200088",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "12096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.