Active NPI
Karen L Cooney, MA, CHHC
- Nutritionist
- West Creek, NJ
National Provider Identifier
1205277472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1681250
- Practice address
- 105 Parkside LN
West Creek, NJ 08092-2832 - Phone
- (609) 548-9029
- Fax
- (609) 597-7020
- NPI assigned
- Jul 16, 2013
- Last updated
- Jul 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1681250 | NJ | Primary |
Addresses
Primary practice location
105 Parkside LN
West Creek, NJ 08092-2832
Mailing address
105 Parkside LN
West Creek, NJ 08092-2832
Phone (609) 548-9029
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1681250 | NJ | MD | Nutritionist |
Organizations & group practices 1
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.
-
- Nutritionist
- West Creek, NJ
- NPI 1982140455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1205277472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PARKSIDE LN",
"city": "WEST CREEK",
"state": "NJ",
"postal_code": "080922832",
"telephone_number": "609-548-9029",
"fax_number": "609-597-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PARKSIDE LN",
"city": "WEST CREEK",
"state": "NJ",
"postal_code": "080922832",
"telephone_number": "609-548-9029",
"fax_number": "609-597-7020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONEY",
"first_name": "KAREN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MA, CHHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NJ",
"license": "1681250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Creek, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.