Barbara Irene Cooper, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043119226 Issued in IL

Practice address

6901 N Galena Rd
Peoria, IL 61614-3193

Phone

(309) 689-2108

Fax

(309) 689-2285

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1063081024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 N GALENA RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143193",
            "telephone_number": "309-689-2108",
            "fax_number": "309-689-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N GALENA RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143193",
            "telephone_number": "309-689-2108",
            "fax_number": "309-689-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "BARBARA",
        "middle_name": "IRENE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043119226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.cooper@LSSLiving.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6901 N Galena Rd",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616143193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.cooper@LSSLiving.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6901 N Galena Rd",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616143193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jannar Cook
• Daniel M Cooley, MD
• Kyle Payne Coombes, MD
• Anita Coon, FNP
• John Coon, MD
• Brittney Cooper, DNP, FNP-BC
• Emily E Cooper, AUD
• Kassandra Iva Marie Cooper, D.O.
• Linda Marie Cooper, RN, MSN, CNS-BC
• Mariah Bradley Cooper, LMT

• Licensed Practical Nurse in Peoria, IL
• Providers in Peoria, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.