September Royelle Cooper, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

303627 Issued in NY

Practice address

1349 Langdon Blvd
Rockville Centre, NY 11570-3514

Phone

(516) 536-9429

NPI assigned

Dec 20, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1346543071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 LANGDON BLVD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703514",
            "telephone_number": "516-536-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 LANGDON BLVD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703514",
            "telephone_number": "516-536-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SEPTEMBER",
        "middle_name": "ROYELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "303627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Confidential Health
• Kaitlyn Rose Connelly
• Louis W Cook, MSW
• Katherine Cooke, LCSW
• Robert Alan Cooper, MD
• Alora Dannon Corr, PHD, BCBA, LBA
• Alexander J Corsair, DMD
• Anthony Corso, MD
• Grace Costa, PMHNP
• Cough Medical Care of Li PC

• Licensed Practical Nurse in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.