Active NPI
Shawna L Cooper, LVN
- Counselor
- Hilo, HI
National Provider Identifier
1356547897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1045 Kilauea Ave Ste a
Hilo, HI 96720-4291 - Phone
- (808) 780-5771
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 208061 | CA | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1045 Kilauea Ave Ste a
Hilo, HI 96720-4291
Mailing address
PO Box 563
Apt B69
Pepeekeo, HI 96783-0563
Phone (808) 780-5771
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 |
|---|---|---|---|
| 208061 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1356547897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 563",
"address_2": "APT B69",
"city": "PEPEEKEO",
"state": "HI",
"postal_code": "967830563",
"telephone_number": "808-780-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 KILAUEA AVE STE A",
"city": "HILO",
"state": "HI",
"postal_code": "967204291",
"telephone_number": "808-780-5771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SHAWNA",
"middle_name": "L",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "208061",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.