Active NPI
Lacoya Cooley, LPN
- Licensed Practical Nurse
- Rochester, NY
National Provider Identifier
1124499926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 323924
- Practice address
- 77 Willite Dr
Rochester, NY 14621-5123 - Phone
- (585) 278-4831
- NPI assigned
- Oct 19, 2015
- Last updated
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 323924 | NY | Primary |
| Transportation Network Company | 342000000X | NU |
Addresses
Primary practice location
77 Willite Dr
Rochester, NY 14621-5123
Mailing address
445 Elmwood Ter
Rochester, NY 14620-3709
Phone (585) 278-4831
Other practice location 1
445 Elmwood Ter
Rochester, NY 14620-3709
Phone (585) 278-4831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201974473 | Medicaid | NY |
Other names 1
- Lacoya Hill
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lcooley22@yahoo.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1124499926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 ELMWOOD TER",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146203709",
"telephone_number": "585-278-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 WILLITE DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146215123",
"telephone_number": "585-278-4831"
}
],
"practiceLocations": [
{
"address_1": "445 Elmwood Ter",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146203709",
"country_code": "US",
"telephone_number": "585-278-4831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOLEY",
"first_name": "LACOYA",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "323924",
"primary": true
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201974473",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lcooley22@yahoo.com",
"affiliation": "N",
"address_1": "77 Willite Dr",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146215123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LACOYA",
"last_name": "HILL",
"credential": "LPN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.