Kelly M Coop

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD60190162 Issued in WA

Practice address

1901 S Union Ave
Ste B-2001
Tacoma, WA 98405-1702

Phone

(253) 272-3090

Fax

(253) 627-1415

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1235200908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE PKWY N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464103",
            "telephone_number": "763-268-4388",
            "fax_number": "763-268-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "STE B-2001",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-272-3090",
            "fax_number": "253-627-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOP",
        "first_name": "KELLY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "22636",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60190162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan W Coon, PSYD
• Tiffany May Cooney
• David Coons, DO
• Heidi Lynn Coons
• Lisa L Coons, PA-C
• Nicole Danielle Coope, LMHC, NCC
• Alexa Cooper
• Brian Cooper, L.AC.
• Courtney Ann Cooper, CBT
• Danielle Renee Cooper

• Audiologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.