Hollie Cooper, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22566630 Issued in WI

Practice address

8200 W Brown Deer Rd Ste 210
Milwaukee, WI 53223-1712

Phone

(414) 499-7720

Fax

(414) 662-5198

NPI assigned

Nov 10, 2009

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Exceptional Health Network LLC

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1417699828
  NPD Authorized official

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1356678494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 W HAMPTON AVE APT 1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254077",
            "telephone_number": "414-394-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W BROWN DEER RD STE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231712",
            "telephone_number": "414-499-7720",
            "fax_number": "414-662-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "HOLLIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "22566630",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "30592731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Lee Cooper-Edwards Jr., OWNER
• Daniha J Cooper-Mays
• Chandra Cooper
• Daphanie Cooper
• Diana L Cooper, RN
• Jalen Cooper, LCSW, SAC-IT
• Kasey Marie Cooper
• Kendall Scott Cooper, MD
• Matthew Cooper, M.D.
• Patrica Chris Ann Cooper, R.N

• Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.