NPIMap

Individual provider Active NPI

Christina Marie Cooper, FNP

  • Family Nurse Practitioner
  • Highland, AR
National Provider Identifier
1386216109
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215203 Issued in AR
Practice address
2178 Highway 62 412
Highland, AR 72542-9478
Phone
(870) 994-2202
Fax
(870) 994-2328
NPI assigned
Jul 12, 2021
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 215203 AR Primary

Addresses

Primary practice location

2178 Highway 62 412
Highland, AR 72542-9478

Mailing address

43 Stonehaven LN
Glencoe, AR 72539-9546

Other practice location 1

308 Highway 62 W
Ash Flat, AR 72513-9415
Phone (870) 994-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805001234 AR Practitioner - Nurse Practitioner 8820492325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1St Choice Healthcare IncGroup PAC ID 0648184218, 36 clinicians

Practice addresses (Care Compare)

2178 Hwy 62 412
Highland, AR 72542-9478
Phone (870) 994-2202

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Healthcare Inc CurrentSince Jul 31, 2023 Accepting new patients
1St Choice Healthcare Inc CurrentSince Jul 31, 2023 Accepting new patients
1St Choice Healthcare Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

308 Highway 62 W
Ash Flat, AR 72513
Phone (870) 955-5058

1300 Creason Rd
Corning, AR 72422
Phone (870) 857-3399

2178 Highway 62 412
Highland, AR 72542
Phone (870) 994-2202

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

1016 McQuay Ave
Pocahontas, AR 72455
Phone (870) 892-9949

172 Highway 62 W
Salem, AR 72576
Phone (870) 895-2735

201 Colonial Dr
Walnut Ridge, AR 72476
Phone (870) 886-5507

Interoperability endpoints

  • Direct secure messaging: christina.cooper@1st.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1386216109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 STONEHAVEN LN",
            "city": "GLENCOE",
            "state": "AR",
            "postal_code": "725399546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 HIGHWAY 62 412",
            "city": "HIGHLAND",
            "state": "AR",
            "postal_code": "725429478",
            "telephone_number": "870-994-2202",
            "fax_number": "870-994-2328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Highway 62 W",
            "address_purpose": "LOCATION",
            "city": "Ash Flat",
            "state": "AR",
            "postal_code": "725139415",
            "country_code": "US",
            "telephone_number": "870-994-2202",
            "fax_number": "870-994-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, AR

Sources for this page

Verify at the official NPI Registry.