Individual provider Active NPI

Lauretta Kooper, DNP, APRN, NP, CNS

  • Gerontology Clinical Nurse Specialist
  • Cypress, TX
National Provider Identifier
1376163220
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
AP143239 Issued in TX
Practice address
18023 Oakfield Glen LN
Cypress, TX 77433-2186
Phone
(678) 656-5605
NPI assigned
Apr 21, 2020
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 777077 TX
Nurse Practitioner 363L00000X AP143239 TX
Gerontology Clinical Nurse Specialist 364SG0600X AP143239 TX Primary
Acute Care Nurse Practitioner 363LA2100X 1054685 TX

Addresses

Primary practice location

18023 Oakfield Glen LN
Cypress, TX 77433-2186

Mailing address

7200 Cambridge St
Houston, TX 77030-4202
Phone (713) 798-2400

Other practice location 1

6720 Bertner Ave Ste O-520
Houston, TX 77030-2604
Phone (832) 355-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103002571 TX Practitioner - Nurse Practitioner 9739577164 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
777077TXMDRegistered Nurse
AP143239TXMDNurse Practitioner
1054685TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Mar 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Mar 1, 2022 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
KND Development 59 LLC CurrentSince Jan 26, 2023 Accepting new patients
Accord Health Consultants LLC CurrentSince Aug 28, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 3, 2021 Accepting new patients
TMH Physician Associates PLLC CurrentSince Dec 3, 2021 Accepting new patients
KND Development 59, LLC CurrentSince Jan 26, 2023 Accepting new patients

Locations

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

11297 Fallbrook Dr
Houston, TX 77065
Phone (281) 517-1000

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Houston, TX 77030
Phone (713) 798-2400

6720 Bertner Ave
Ste O520
Houston, TX 77030
Phone (832) 355-2202

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: lkooper385023@directhoustonmethodist.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1376163220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "713-798-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18023 OAKFIELD GLEN LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332186",
            "telephone_number": "678-656-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Bertner Ave Ste O-520",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302604",
            "country_code": "US",
            "telephone_number": "832-355-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOPER",
        "first_name": "LAURETTA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, NP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "777077",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP143239",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP143239",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1054685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.