Katherine Cooley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2000 W Main St Ste M
St Charles, IL 60174-1773

Phone

(630) 584-9242

NPI assigned

Jan 15, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians Express, LLC

  • Primary Care Clinic/Center
  • St Charles, IL
  • NPI 1821059452
  NPD
• TT Medical Group LLC

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1215528922
  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1104697556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31908 VILLAGE GREEN BLVD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605555904",
            "telephone_number": "224-425-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MAIN ST STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741773",
            "telephone_number": "630-584-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conner Therapy, LLC
• Stacey Lynn Conner
• Haley Conrady, OTD, OTR/L
• Consider Yourself Counseling Services P C
• Continuum Behavioral Services PLLC
• Colleen Cooper, MA, LCPC
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #1040)
• Costco Wholesale Corporation (Costco Optical #1040)
• Courageous Counseling Services LLC

• Physician Assistant in St Charles, IL
• Providers in St Charles, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.