Sherrie Cooper, RN, BSN, PHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95069911 Issued in CA

Practice address

275 Beck Ave
Fairfield, CA 94533-6804

Phone

(707) 628-1212

NPI assigned

Jul 19, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1255904355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 CLIFTON WAY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956888548",
            "telephone_number": "707-628-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BECK AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-628-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHERRIE",
        "credential": "RN, BSN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95069911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Prisommony",
            "affiliation": "N",
            "address_1": "275 Beck Ave",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945336804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Rickey Dylvacheo Cooper
• Doris Cooper
• Keir'Ra Rhiana Cooper
• Kent Barton Cooper, DVM
• Lily-Ann Sharian Cooper
• Taylor Coopwood
• Gina Cristina Copak, PHARMD
• Katrina Copeland, MFTI
• Leslie Diane Corbett, ACSW
• Martha Ellen Corcoran, M.D.

• Registered Nurse in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.