Active NPI
Kathryn J Cooper, NP
- Acute Care Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 12096
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN 12096 | TN | MD | Nurse Practitioner |
Practice roles
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
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
- kcooper28260@mlh.direct-ci.com
- 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.
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1518747526
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1609850692
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1801677083
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1609657873
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1023899291
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1437141538
-
- Internal Medicine Physician
- Springfield, TN
- NPI 1356561856
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.