Individual provider Active NPI

Elizabeth Cooper, APRN

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1447829973
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10638130-4405 Issued in UT
Practice address
800 3Rd Ave FRNT a
New York, NY 10022-7604
Phone
(516) 210-5600
NPI assigned
Jun 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10638130-4405 UT Primary
Registered Nurse 163W00000X 10638130-3102 UT

Addresses

Primary practice location

800 3Rd Ave FRNT a
New York, NY 10022-7604

Mailing address

4392 S Covecrest Dr
Salt Lake City, UT 84124-4008
Phone (801) 884-8588

Other practice location 1

4043 Riverdale Rd # 1093
Ogden, UT 84405-1717
Phone (801) 884-8588

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10638130-3102UTMDRegistered Nurse
10638130-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Brian J Williams MD PC PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1447829973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4392 S COVECREST DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244008",
            "telephone_number": "801-884-8588",
            "fax_number": "947-203-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 3RD AVE FRNT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227604",
            "telephone_number": "516-210-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4043 Riverdale Rd # 1093",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844051717",
            "country_code": "US",
            "telephone_number": "801-884-8588",
            "fax_number": "947-203-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10638130-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "10638130-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.