Tevana Ann Cooper, PCA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

3435 W Craig Rd Ste C
North Las Vegas, NV 89032-5116

Phone

(702) 538-8814

Fax

(702) 560-0488

NPI assigned

Oct 15, 2018

Last updated

Oct 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1306312665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 E EVANS AVE APT D29",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305494",
            "telephone_number": "702-517-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W CRAIG RD STE C",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325116",
            "telephone_number": "702-538-8814",
            "fax_number": "702-560-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TEVANA",
        "middle_name": "ANN",
        "credential": "PCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104426457",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Cooper
• Guy Calderon Cooper, MS, LCPC
• Michael Cooper
• Michael Cooper, MSW, LCSW
• Taylor Nicole Cooper
• Jeff Copas
• Theresa Copas
• Amber Michelle Copeland
• Mica Copeland
• Kari Corbin

• Personal Care Attendant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.