Shannon Denise Cooper, R.N. B.S.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

703695 Issued in TX

Practice address

8029 Dusty Way
Fort Worth, TX 76123-1915

Phone

(817) 810-0660

NPI assigned

Aug 16, 2018

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

Other names 1

• Miss Shannon Denise Walker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1174003404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 DUSTY WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231915",
            "telephone_number": "817-266-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 DUSTY WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231915",
            "telephone_number": "817-810-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHANNON",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "R.N. B.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "703695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WALKER",
            "middle_name": "DENISE",
            "prefix": "MISS",
            "credential": "R.N. B.S.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mikyla Nan Cooper, MAT, LAT, ATC
• Nikki Cooper, RN
• Paige Cooper, PT
• Ruth S Cooper, RPH
• Sarah Fern Cooper, NP
• Stephanie Cooper
• Denise Coover, LCSW
• Sandy Diane Cope-Yokoyama, MD
• Angela L Cope, M.D.
• Macullen Cope, PHARMD

• Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.