Dana Lee Cooper, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

093670 Issued in MO

Practice address

413 W Grand Ave
Campbell, MO 63933-1523

Phone

(573) 246-2582

Fax

(573) 246-3246

NPI assigned

Mar 10, 2008

Last updated

Dec 5, 2014By the provider in NPPES

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 identifiers 3

Other names 1

• Dana Lee Stone Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Piggott Community Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Piggott, AR
  • NPI 1871555185
  Medicare reassignment NPD
• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837
  NPD
• Piggott Community Hospital

  dba Campbell Medical Clinic

  • Rural Health Clinic/Center
  • Campbell, MO
  • NPI 1033100870
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1205006871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W GRAND AVE",
            "city": "CAMPBELL",
            "state": "MO",
            "postal_code": "639331523",
            "telephone_number": "573-246-2582",
            "fax_number": "573-246-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W GRAND AVE",
            "city": "CAMPBELL",
            "state": "MO",
            "postal_code": "639331523",
            "telephone_number": "573-246-2582",
            "fax_number": "573-246-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DANA",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "093670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "000010626",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428416705",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "838710626",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "STONE",
            "middle_name": "LEE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Daryol Butcher, DDS
• Campbell Healthcare & Senior Living, LLC
• Campbell R-2 School District
• Melinda Kaye Colbert
• Melissa Lynne Cooley
• General Baptist Nursing Home, Inc. (General Baptist Nursing Home)
• Genesis Home Care (Robin Boykin)
• Cynthia M Gonzalez
• Kayla Graves, RD
• Sarah E Guethle, OT

• Family Nurse Practitioner in Campbell, MO
• Providers in Campbell, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.