Individual provider Active NPI

Karen Genyel Cooper-Washington, RN

  • Registered Nurse
  • Maywood, IL
National Provider Identifier
1174898449
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041387922 Issued in IL
Practice address
911 S 7TH Ave
Maywood, IL 60153-2065
Phone
(773) 351-5725
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041387922 IL Primary
Administrator Registered Nurse 163WA2000X 041387922 IL
Peritoneal Dialysis Registered Nurse 163WD1100X 041387922 IL

Addresses

Primary practice location

911 S 7TH Ave
Maywood, IL 60153-2065

Mailing address

911 S 7TH Ave
Maywood, IL 60153-2065
Phone (773) 351-5725

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041387922ILMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1174898449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S 7TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532065",
            "telephone_number": "773-351-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S 7TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601532065",
            "telephone_number": "773-351-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-WASHINGTON",
        "first_name": "KAREN",
        "middle_name": "GENYEL",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041387922",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "041387922",
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "IL",
            "license": "041387922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.