Active NPI
Sophia Cooper
- Family Nurse Practitioner
- Coral Springs, FL
National Provider Identifier
1275098717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11016460
- Practice address
- 9120A Wiles Rd
Coral Springs, FL 33067-1993 - Phone
- (718) 541-0719
- NPI assigned
- Feb 8, 2019
- Last updated
- Mar 22, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11016460 | FL | |
| Family Nurse Practitioner | 363LF0000X | F342784-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | APRN11016460 | FL | Primary |
Addresses
Primary practice location
9120A Wiles Rd
Coral Springs, FL 33067-1993
Mailing address
7819 NW 40TH CT
Coral Springs, FL 33065-1913
Phone (718) 541-0719
Other practice location 1
4570 Lyons Rd Ste 1104570
Coconut Creek, FL 33073-3481
Phone (954) 971-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016460 | FL | MD | Nurse Practitioner |
| F342784-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
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.
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1275098717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7819 NW 40TH CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330651913",
"telephone_number": "718-541-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120A WILES RD",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330671993",
"telephone_number": "718-541-0719"
}
],
"practiceLocations": [
{
"address_1": "4570 Lyons Rd Ste 1104570",
"address_purpose": "LOCATION",
"city": "Coconut Creek",
"state": "FL",
"postal_code": "330733481",
"country_code": "US",
"telephone_number": "954-971-3210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "SOPHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2024-03-22",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11016460",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F342784-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11016460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
- Nivia Estella Conte, D.D.S.
- Lorenzo Contreras Limonta
- Lorena Contreras
- Ashanna Cooper
- Danielle Cooper, OD
- Verona Rosemarie Coote-Janes
- Cora Health Services Inc (CORA Physical Therapy - Coral Springs)
- Cora Health Services Inc
- Cora Health Services, Inc (CORA Physical Therapy - Coral Springs Rehab and Aquatics)
- Coral Dental Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.