Crystal Renee Cooper, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-56521 Issued in HI

Practice address

2421 Chesstal St
Saint Charles, MO 63301-2521

Phone

(808) 223-0057

NPI assigned

Aug 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1225765159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CHESSTAL ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012521",
            "telephone_number": "808-223-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CHESSTAL ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012521",
            "telephone_number": "808-223-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CRYSTAL",
        "middle_name": "RENEE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "HI",
            "license": "L-56521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constant Care LLC.
• Constantly Caring LLC
• Consultative Cardiology, LLC
• Kathryn L. Conwell, LPC
• Dawn Renee Cook, RPH
• Marquita Cooper, LCSW, MSW
• Tracy A Cope, PNP
• Jennifer Leigh Cordell, DPT
• Matthew John Cormier, MD
• Cornerstone Caregiving East LLC

• Lactation Consultant (Non-RN) in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Lactation Consultant (Non-RN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.