Individual provider Active NPI

Lenisa Harris Cooper, INDEPENDENT PROVIDER

  • Contractor
  • Frankfort, OH
National Provider Identifier
1447880695
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
40 N. Main St
Frankfort, OH 45628
Phone
(614) 633-5365
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

40 N. Main St
Frankfort, OH 45628

Mailing address

PO Box 574
Frankfort, OH 45628-0574
Phone (614) 633-5365

Other identifiers 2

IdentifierTypeStateIssuer
0323961MedicaidOH
7103017OtherINDEPENDENT PROVIDER NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1447880695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "FRANKFORT",
            "state": "OH",
            "postal_code": "456280574",
            "telephone_number": "614-633-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N. MAIN ST",
            "city": "FRANKFORT",
            "state": "OH",
            "postal_code": "45628",
            "telephone_number": "614-633-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS COOPER",
        "first_name": "LENISA",
        "credential": "INDEPENDENT PROVIDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323961",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT PROVIDER NUMBER",
            "identifier": "7103017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.