Active NPI
Kathryn H Cooper, CRNA
- Certified Registered Nurse Anesthetist
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 44289
- Practice address
- 1874 Beltline Rd SW
Decatur, AL 35601-5514 - Phone
- (256) 301-3340
- Fax
- (256) 301-3443
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 44289 | AL | Primary |
Addresses
Primary practice location
1874 Beltline Rd SW
Decatur, AL 35601-5514
Mailing address
157 County Road 378
Trinity, AL 35673-5346
Phone (256) 355-5169
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042380 | Other | AL | RN LICENSE |
| 44289 | Other | AL | CRNA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44289 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crna Services of DGH | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| National Healthcare of Decatur Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Alabama, LLC | Past | Accepting new patients |
Locations
1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000
1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Decatur, AL
- NPI 1306088471
Nurse Anesthetist, Certified Registered
-
dba Parkway Medical Center
- Certified Registered Nurse Anesthetist
- Decatur, AL
- NPI 1356546477
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1760761506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407995798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 COUNTY ROAD 378",
"city": "TRINITY",
"state": "AL",
"postal_code": "356735346",
"telephone_number": "256-355-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1874 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015514",
"telephone_number": "256-301-3340",
"fax_number": "256-301-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KATHRYN",
"middle_name": "H",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "44289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "042380",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA LICENSE",
"identifier": "44289",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.