Lisa Cooper Copeland, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

764 Old Chattanooga Pike SW
Cleveland, TN 37311

Phone

(423) 472-5268

Fax

(423) 614-5466

NPI assigned

May 15, 2007

Last updated

Aug 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lisa Brooke Cooper Former name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Bridges, IncGroup PAC ID 8628147410, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Bridges, Inc

  • Family Medicine Physician
  • Cleveland, TN
  • NPI 1700928876
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1124234984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 29",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373640029",
            "telephone_number": "423-472-5268",
            "fax_number": "423-614-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 OLD CHATTANOOGA PIKE SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-472-5268",
            "fax_number": "423-614-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "LISA",
        "middle_name": "COOPER",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "COOPER",
            "middle_name": "BROOKE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cooke Food Store Inc (Cooke's Pharmacy)
• Mary A Cooke-Jones
• Alexandra Cooke, APRN
• Jacquelyn Marie Cooper, LADAC II
• Elizabeth Cope
• Alexander Gabriel Corey, DMD
• Kathryn Carson Corley, BEHAVIOR TECHNICIAN
• Katelyn Cornett, OTR/L
• Elizabeth Ann Couillard, CRNA
• Heather Coulston

• Speech-Language Pathologist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.