Individual provider Active NPI

Darrah Cooper

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1376169904
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903310 Issued in MS
Practice address
209 N Harper Rd
Corinth, MS 38834-5271
Phone
(662) 286-1901
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903310 MS Primary

Addresses

Primary practice location

209 N Harper Rd
Corinth, MS 38834-5271

Mailing address

2107 Weston Dr
Corinth, MS 38834-2412
Phone (662) 416-9460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20200826000492 MS Practitioner - Nurse Practitioner 5193142966 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903310MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corinth Pulmonary Clinic and Rehabilitation, PA CurrentSince Jul 6, 2020 Accepting new patients

Locations

209 N Harper Rd
Corinth, MS 38834
Phone (662) 286-1901

Interoperability endpoints

  • Direct secure messaging: darrah.cooper.1@27830.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1376169904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 WESTON DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388342412",
            "telephone_number": "662-416-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N HARPER RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345271",
            "telephone_number": "662-286-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DARRAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.