Coordinated Care, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP008627 Issued in PA

Legal business name

COORDINATED CARE, LLC

Practice address

913 S 7TH St
Philadelphia, PA 19147-2905

Phone

(609) 332-3852

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Catherine C. Harris, CRNP

Title

Owner

Phone

(609) 332-3852

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1457768152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S 7TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472905",
            "telephone_number": "609-332-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S 7TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472905",
            "telephone_number": "609-332-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-332-3852",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "278325",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "273771",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Alfred Cooper II
• Benjamin A Cooperberg, MD
• Yael Noa Cooperman, MD
• Cooperman'S Pharmacy, LTD
• Caroline Coopersmith
• Coosha'E Cares
• Derek Cope, DNP, CRNA
• Jacqueline D Copeland
• Joshua Aaron Copeland, M.D.
• Karlene Sheena Copeland, FNP-BC

• Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.