Active NPI
Elizabeth Sheryl Cooper, NP
- Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1093677155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 31060
- Practice address
- 20601 N 19TH Ave Ste 130
Phoenix, AZ 85027-3587 - Phone
- (877) 564-3627
- NPI assigned
- Nov 26, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 31060 | SC | Primary |
Addresses
Primary practice location
20601 N 19TH Ave Ste 130
Phoenix, AZ 85027-3587
Mailing address
3618 Edwards Rd
Aynor, SC 29511-3716
Phone (315) 399-2675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260210002634 | SC | Order and Referring Only - Nurse Practitioner | 1759860679 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31060 | SC | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1093677155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3618 EDWARDS RD",
"city": "AYNOR",
"state": "SC",
"postal_code": "295113716",
"telephone_number": "315-399-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20601 N 19TH AVE STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273587",
"telephone_number": "877-564-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ELIZABETH",
"middle_name": "SHERYL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-26",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "31060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.