Active NPI
Janice Lynn Cooper, NP
- Nurse Practitioner
- Muskegon, MI
National Provider Identifier
1356384812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 118402
- Practice address
- 1440 E Sherman Blvd
Muskegon, MI 49444-1878 - Phone
- (231) 672-2008
- Fax
- (231) 672-2009
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 118402 | MI | Primary |
Addresses
Primary practice location
1440 E Sherman Blvd
Muskegon, MI 49444-1878
Mailing address
PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 727-4444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2829001 | Medicaid | MI | |
| 500876463 | Other | MI | BCBSM |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118402 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners | 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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1356384812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431847",
"telephone_number": "231-727-4444",
"fax_number": "231-727-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441878",
"telephone_number": "231-672-2008",
"fax_number": "231-672-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JANICE",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "118402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2829001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "500876463",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.