Active NPI
Jane M Cooper, RN BC FNP
- Family Nurse Practitioner
- Columbia, MO
National Provider Identifier
1396730677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 074850
- Practice address
- 303 N Keene St Ste 401
Columbia, MO 65201-8054 - Phone
- (573) 884-2200
- Fax
- (573) 874-8737
- NPI assigned
- Sep 13, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 074850 | MO | Primary |
Addresses
Primary practice location
303 N Keene St Ste 401
Columbia, MO 65201-8054
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other practice location 1
812 N Keene St
Columbia, MO 65201-6633
Phone (573) 817-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 425251501 | Medicaid | MO |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Sinus Allergy Specialists, Inc | Past | Accepting new patients |
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.
-
- Otolaryngology Physician
- Columbia, MO
- NPI 1821177916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1396730677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N KEENE ST STE 401",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018054",
"telephone_number": "573-884-2200",
"fax_number": "573-874-8737"
}
],
"practiceLocations": [
{
"address_1": "812 N Keene St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016633",
"country_code": "US",
"telephone_number": "573-817-3000",
"fax_number": "573-876-6950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "JANE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RN BC FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "074850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "425251501",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.