Individual provider Active NPI

Dominique Nicole Cooper, WHNP-BC

  • Adult Health Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1316534928
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1018125 Issued in TX
Practice address
2840 Legacy Dr Ste 400
Frisco, TX 75034-6055
Phone
(469) 476-5623
NPI assigned
Dec 29, 2020
Last updated
Jul 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1018125 TX Primary
Women's Health Nurse Practitioner 363LW0102X 1018125 TX

Addresses

Primary practice location

2840 Legacy Dr Ste 400
Frisco, TX 75034-6055

Mailing address

2090 Palm Beach Lakes Blvd Ste 700
West Palm Beach, FL 33409-6508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813000090 TX Practitioner - Nurse Practitioner 1355889114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Health PLLC CurrentSince Feb 4, 2025 Accepting new patients
PRM of Texas PC PastSince Feb 1, 2023 Accepting new patients
PRM Texas Gynecology PC PastSince Feb 1, 2023 Accepting new patients

Locations

2840 Legacy Dr
Ste 400
Frisco, TX 75034
Phone (469) 200-6100

5575 Warren Pkwy
Ste 115
Frisco, TX 75034
Phone (469) 200-6100

Interoperability endpoints

  • Direct secure messaging: dominique.cooper.1@29536.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1316534928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 PALM BEACH LAKES BLVD STE 700",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LEGACY DR STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346055",
            "telephone_number": "469-476-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DOMINIQUE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1018125",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1018125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.