Active NPI
Sharon P Cooper, MD
- Pediatrics Physician
- Fayetteville, NC
National Provider Identifier
1366511669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9600080
- Practice address
- 510 Waterview Court
Fayetteville, NC 28301-3347 - Phone
- (910) 488-9304
- Fax
- (910) 488-8705
- NPI assigned
- Nov 8, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9600080 | NC | Primary |
Addresses
Primary practice location
510 Waterview Court
Fayetteville, NC 28301-3347
Mailing address
2817 Reilly Road
MCXC Cod Credentials Womack Army Medical Center
Fort Bragg, NC 28310
Phone (910) 907-8922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891041R | Medicaid | NC |
Other names 1
- Sharon Watkins Brown
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9600080 | NC | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- sharon.cooper.1@23362.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1366511669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"address_2": "MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 WATERVIEW COURT",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013347",
"telephone_number": "910-488-9304",
"fax_number": "910-488-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SHARON",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9600080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891041R",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "BROWN",
"middle_name": "WATKINS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.