Sarah Moses Cooper, NP
Individual provider Active NPI Pediatric Nurse Practitioner · Dayton, TN
NPI 1124910757 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1124910757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 39248 (TN)
- Practice address
- 149 Walnut Grove Church Rd
Dayton, TN 37321-7925 - Phone
- (423) 775-5512
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39248 | TN | MD | Electrodiagnostic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Pediatrics P C | Past |
Accepting new patients | |
| Pediatric Choice LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 39248 | TN | Yes |
Addresses
Primary practice location
149 Walnut Grove Church Rd
Dayton, TN 37321-7925
Mailing address
203 County Road 142
Riceville, TN 37370-5529
Other providers in Dayton, TN
- Brea Cito
- City Department of Education
- Roberta D Cobbe
- William Bruce Colburn
- Aaron Lee Connell
- Craig S Swafford MD PLLC
- Alan L Crews
- Crossroads Urgent Care PLLC
- Dan Fields III, DDS PLLC
- Ashley N Davis
All providers in Dayton, TN · Pediatric Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.