Organization Active NPI

Diversified Nursing Services, Inc.

Doing business as Lisa B. Cooper, CFNP

  • Family Nurse Practitioner
  • Aberdeen, MS
National Provider Identifier
1215002498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R826442 Issued in MS
Legal business name
DIVERSIFIED NURSING SERVICES, INC.
Doing business as
Lisa B. Cooper, CFNP
Practice address
505 Jackson St
Aberdeen, MS 39730-3349
Phone
(662) 369-6431
Fax
(662) 369-6473
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa B Cooper, CFNP
Title
President
Phone
(662) 251-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X R826442 MS Primary

Addresses

Primary practice location

505 Jackson St
Aberdeen, MS 39730-3349

Mailing address

770 N Wolfe Rd
Caledonia, MS 39740-9763
Phone (662) 251-4055

Other names 1

  • Lisa B. Cooper, CFNP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215002498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N WOLFE RD",
            "city": "CALEDONIA",
            "state": "MS",
            "postal_code": "397409763",
            "telephone_number": "662-251-4055",
            "fax_number": "662-304-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JACKSON ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303349",
            "telephone_number": "662-369-6431",
            "fax_number": "662-369-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-251-4055",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R826442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa B. Cooper, CFNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.