Active NPI
Christi S Cooley, PA
- Medical Physician Assistant
- Centennial, CO
National Provider Identifier
1417138876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1576
- Practice address
- 5161 E Arapahoe Rd
#290
Centennial, CO 80122 - Phone
- (720) 488-0055
- NPI assigned
- Nov 14, 2007
- Last updated
- Jan 3, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1576 | CO | Primary |
Addresses
Primary practice location
5161 E Arapahoe Rd
#290
Centennial, CO 80122
Mailing address
5161 E Arapahoe Rd
#290
Centennial, CO 80122
Phone (720) 488-0055
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1576 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1417138876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5161 E ARAPAHOE RD",
"address_2": "#290",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80122",
"telephone_number": "720-488-0055",
"fax_number": "720-488-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5161 E ARAPAHOE RD",
"address_2": "#290",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80122",
"telephone_number": "720-488-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "CHRISTI",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "1576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.