Sharia Shondale Cooper, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

065680 Issued in NC

Practice address

5205 Switchback Dr
High Point, NC 27265-2933

Phone

(336) 404-9956

NPI assigned

Apr 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Caring Home Care LLC

  • Home Health Agency
  • Archdale, NC
  • NPI 1851913339
  NPD Authorized official

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1437392933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 TRINDALE DRIVE",
            "address_2": "SITE D 201",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632933",
            "telephone_number": "336-404-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 SWITCHBACK DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652933",
            "telephone_number": "336-404-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHARIA",
        "middle_name": "SHONDALE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "065680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Microsoft",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5205 Switchback Dr",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272652933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Microsoft",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5205 Switchback Dr",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272652933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Business",
            "affiliation": "N",
            "endpointDescription": "Business mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5205 Switchback Dr",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272652933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan A Cook, FNP-C
• Chad A Cooke, LPC
• Mary Katherine Craven Cooke, PA
• Stephanie Anne Cooke, LCMHCA
• Juliette Bates Cooper, PHARMD
• Darrell A. Cope, MD
• Linda Copeland, M.S.
• Keith Copper Jr.
• Core Therapy and Resolutions, PLLC.
• David Wade Cornell, MD

• Licensed Practical Nurse in High Point, NC
• Providers in High Point, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.