Individual provider Active NPI

Jane Cooper, R N

  • Registered Nurse
  • Lookout, WV
National Provider Identifier
1053595116
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
27081 Issued in WV
Practice address
Nuttall Middle School
Route 60
Lookout, WV 25868
Phone
(304) 574-1144
Fax
(304) 574-1144
NPI assigned
Dec 26, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 27081 WV Primary

Addresses

Primary practice location

Nuttall Middle School
Route 60
Lookout, WV 25868

Mailing address

Nuttall Health Center
Route 60
Lookout, WV 25868
Phone (304) 574-1144

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)
Not enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1053595116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NUTTALL HEALTH CENTER",
            "address_2": "ROUTE 60",
            "city": "LOOKOUT",
            "state": "WV",
            "postal_code": "25868",
            "telephone_number": "304-574-1144",
            "fax_number": "304-574-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUTTALL MIDDLE SCHOOL",
            "address_2": "ROUTE 60",
            "city": "LOOKOUT",
            "state": "WV",
            "postal_code": "25868",
            "telephone_number": "304-574-1144",
            "fax_number": "304-574-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JANE",
        "credential": "R N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "27081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lookout, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.