Jimmy W Cooper, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

233573 Issued in TX

Practice address

3501 S Soncy Rd
Suite 118
Amarillo, TX 79119-6407

Phone

(806) 359-7999

Fax

(806) 355-7598

NPI assigned

Aug 30, 2006

Last updated

Jan 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Amarillo Anesthesia Consultants PA

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1326196288

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1104936996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50360",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590360",
            "telephone_number": "806-351-1560",
            "fax_number": "806-351-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "SUITE 118",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196407",
            "telephone_number": "806-359-7999",
            "fax_number": "806-355-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JIMMY",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "233573",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "R20232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "85849U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Coon, FNP-C
• Cooper Chiropractic, PLLC
• Casey Paul Cooper, PHARMD
• Delaney Cooper, APRN-CNP
• Emily Cooper
• Julie M Cooper, PT
• Justin Levi Cooper
• Tyler Newell Cooper, M.D.
• Cope Well Counseling, PLLC
• Eddie Lee Copelin II, M.D.

• Certified Registered Nurse Anesthetist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.