Individual provider Active NPI

Emily Nicole Cooley, APRN, FNP-C

  • Family Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1093563843
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1168316 Issued in TX
Practice address
9675 Eagle Dr Ste 105
Baytown, TX 77523-5607
Phone
(832) 307-7106
NPI assigned
May 7, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1168316 TX Primary

Addresses

Primary practice location

9675 Eagle Dr Ste 105
Baytown, TX 77523-5607

Mailing address

12507 Old River Dr
Baytown, TX 77523-8709
Phone (832) 317-4729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250107001543 TX Practitioner - Nurse Practitioner 9335677103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1168316TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aneres Healthcare and Wellness Centers LLC CurrentSince Mar 16, 2026 Accepting new patients
Family Chiropractic Health Center CurrentSince Nov 18, 2024 Accepting new patients

Locations

507 Rollingbrook Dr
Baytown, TX 77521
Phone (281) 420-5548

142 1st St W
Humble, TX 77338
Phone (832) 644-1565

9675 Eagle Dr
Ste 105
Mont Belvieu, TX 77523
Phone (832) 307-7106

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1093563843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 OLD RIVER DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775238709",
            "telephone_number": "832-317-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 EAGLE DR STE 105",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775235607",
            "telephone_number": "832-307-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.