Active NPI
Tara Cooper, HEALTH COACH
- Nutrition Education Nutritionist
- Jacksonville Beach, FL
National Provider Identifier
1407507064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Practice address
- 3832 Tropical Ter
Jacksonville Beach, FL 32250-3017 - Phone
- (850) 276-0731
- NPI assigned
- Jan 15, 2022
- Last updated
- Feb 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
3832 Tropical Ter
Jacksonville Beach, FL 32250-3017
Mailing address
3832 Tropical Ter
Jacksonville Beach, FL 32250-3017
Phone (850) 276-0731
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1407507064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3832 TROPICAL TER",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503017",
"telephone_number": "850-276-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3832 TROPICAL TER",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503017",
"telephone_number": "850-276-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "TARA",
"credential": "HEALTH COACH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-15",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
- Dana Conilogue, DPT
- Christina Anderson Conner, MD
- Cathleen Teresa Connolly, PH.D.
- Mikayla Emerald Cooper, RD
- Rebecca Cooper, MD
- Alicia Sanders Corbin, M.ED. CCC-SLP
- Core Essentials Physical Therapy & Wellness, LLC
- Coremotion Wellness (COREmotion Pilates & Physical Therapy)
- Corporate Health LLC
- Couzens Stam Domingo PA (Beaches Family Eye Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.