Weslie Cooley, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

58531 Issued in ID

Practice address

4740 N Penngrove Way Ste 210
Meridian, ID 83646-7447

Phone

(208) 514-0203

NPI assigned

Jul 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Weslie Cooley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: weslie.cooley.1@19555.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19555/brand/1/csg/1/fhir/r4

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.

• Thrive Pediatrics, LLC

  • Pediatrics Physician
  • Meridian, ID
  • NPI 1669934220

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1396479127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2588 N CAMERTON PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164825",
            "telephone_number": "208-817-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N PENNGROVE WAY STE 210",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467447",
            "telephone_number": "208-514-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2588 N Camerton Pl",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836164825",
            "country_code": "US",
            "telephone_number": "208-817-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "WESLIE",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "58531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WESLIE",
            "last_name": "COOLEY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Frayne Emanuel Cook, RN
• Jennifer Kaye Cook, APRN
• Jessa Cook, ATL, ATC
• Charles Robert Cooley, DMD
• Kaitlin Cooley, FNP-C
• Christine Cooper
• Cypress April Cooper, NP
• Trace Cooper, DO STUDENT
• Dyana Marie Coose
• Adam M Cope, MPT

• Pediatric Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Pediatric Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.