Individual provider Active NPI

Ziva Cooper, DNP

  • Primary Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1427716653
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
206174 Issued in OK
Practice address
8316 E 61St St Ste 101a
Tulsa, OK 74133-1908
Phone
(918) 893-3535
NPI assigned
Dec 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 206174 OK Primary

Addresses

Primary practice location

8316 E 61St St Ste 101a
Tulsa, OK 74133-1908

Mailing address

8316 E 61St St Ste 101a
Tulsa, OK 74133-1908
Phone (918) 893-3535

Other practice location 1

1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171

Other practice location 2

3450 E Frank Phillips Blvd
Bartlesville, OK 74006-2406
Phone (918) 331-2273

Other identifiers 1

IdentifierTypeStateIssuer
201040640AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20211229001811 OK Practitioner - Nurse Practitioner 6608267653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

Hospital & facility affiliations

  • Ascension at Home Home health agency, Bartlesville, OK, CCN 377272
  • Amedisys Home Health Home health agency, Bartlesville, OK, CCN 377180
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206174OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince May 15, 2024 Accepting new patients
Rodi LLC CurrentSince Jul 1, 2022 Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

3450 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-2273

3450 E Frank Phillips Blvd
Ste 200
Bartlesville, OK 74006
Phone (918) 331-2444

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

8316 E 61st St
Ste 101A
Tulsa, OK 74133
Phone (918) 893-3535

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1427716653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST STE 101A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331908",
            "telephone_number": "918-893-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST STE 101A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331908",
            "telephone_number": "918-893-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1334 N Lansing Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741065907",
            "country_code": "US",
            "telephone_number": "918-587-2171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 E Frank Phillips Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740062406",
            "country_code": "US",
            "telephone_number": "918-331-2273",
            "fax_number": "918-338-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ZIVA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-05",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "206174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201040640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.