Active NPI
Christopher Cooper
- Family Nurse Practitioner
- Sebring, FL
National Provider Identifier
1336719160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11012751
- Practice address
- 4200 Sun N Lake Blvd
Sebring, FL 33872-1986 - Phone
- (863) 385-8655
- NPI assigned
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11012751 | FL | Primary |
Addresses
Primary practice location
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Mailing address
PO Box 751
Sebring, FL 33871-0751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | 0 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | firerescue77@mail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11012751 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1336719160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751",
"city": "SEBRING",
"state": "FL",
"postal_code": "338710751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338721986",
"telephone_number": "863-385-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11012751",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "firerescue77@mail.com",
"affiliation": "N",
"address_1": "4200 Sun N Lake Blvd",
"city": "Sebring",
"state": "FL",
"country_code": "US",
"postal_code": "338721986",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.