Individual provider Active NPI

Sandra Cooper, CNP

  • Women's Health Nurse Practitioner
  • Sewickley, PA
National Provider Identifier
1417104209
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
024344 Issued in OH
Practice address
400 Broad St Ste 1006
Sewickley, PA 15143-1500
Phone
(330) 591-2444
Fax
(833) 740-3510
NPI assigned
Aug 22, 2008
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 024344 OH Primary
Advanced Practice Midwife 367A00000X RN543749 PA

Addresses

Primary practice location

400 Broad St Ste 1006
Sewickley, PA 15143-1500

Mailing address

PO Box 62
Wadsworth, OH 44282-0062
Phone (330) 591-2444

Other practice location 1

PO Box 62
Wadsworth, OH 44282-0062
Phone (330) 591-2444 ext. 12444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120001711 PA Practitioner - Nurse Practitioner 7315075660 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024344OHMDWomen's Health Nurse Practitioner
RN543749PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Advanced Practice Midwife CurrentSince Feb 14, 2010 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 14, 2010 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1417104209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442820062",
            "telephone_number": "330-591-2444",
            "fax_number": "833-740-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROAD ST STE 1006",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431500",
            "telephone_number": "330-591-2444",
            "fax_number": "833-740-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 62",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442820062",
            "country_code": "US",
            "telephone_number": "330-591-2444 x12444",
            "fax_number": "833-740-3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SANDRA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "024344",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "RN543749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.